Can the municipalities prevent medication of lifestyle related diseases?
Keywords: Medical treatment, lifestyle, type 2 diabetes, cardiovascular diseases, asthma and chronically obstructive lung disease, spatial structures, small area variation, panel data
AbstractIn extension of a large municipality reform in 2007, which reduced the number of Danish municipalities from 275 to 98, it was the intention that the municipalities should assume responsibility for a part of the expenditure connected to secondary sector health care treatment. Furthermore, the municipalities were assigned the responsibility for – and equipped with a number of opportunities for – exerting primary preventive initiatives. The purpose of the present study is to investigate, whether the municipalities by applying these opportunities have been able to prevent medication of selected lifestyle related diseases (type 2 diabetes, cardiovascular diseases, and asthma and chronically obstructive lung disease). Though our results initially seem to support this, a closer investigation indicates that the relationship between municipal preventive initiatives and medication is a structural, intra-municipal relationship rather than a cause-response effect.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.