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The impact of physician supply on avoidable cancer deaths in Germany. A spatial analysis

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  • Sundmacher, Leonie
  • Busse, Reinhard
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    Abstract

    Measures of avoidable deaths incorporate the notion that deaths from certain causes should not occur within specified age groups given effective prevention or timely and appropriate access to health care. The present study investigated the impact on specific types of avoidable cancer deaths (ACD) of regional variations in the supply of health services over five years using German districts (Kreise und kreisfreie Städte) as units of analysis.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0168851011001618
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    Bibliographic Info

    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 103 (2011)
    Issue (Month): 1 ()
    Pages: 53-62

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    Handle: RePEc:eee:hepoli:v:103:y:2011:i:1:p:53-62

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    Web page: http://www.elsevier.com/locate/healthpol

    Related research

    Keywords: Avoidable cancer mortality; Health services; Physician supply; Negative binomial regression; Random intercepts;

    References

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    1. Anthony Scott & Alan Shiell, 1997. "Analysing the effect of competition on General Practitioners' behaviour using a multilevel modelling framework," Health Economics, John Wiley & Sons, Ltd., vol. 6(6), pages 577-588.
    2. John Robst, 2001. "A note on the relationship between medical care resources and mortality," Applied Economics Letters, Taylor & Francis Journals, vol. 8(11), pages 737-739.
    3. Pierre-Yves Crémieux & Pierre Ouellette & Caroline Pilon, 1999. "Health care spending as determinants of health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 8(7), pages 627-639.
    4. Aakvik, Arild & Holmås, Tor Helge, 2005. "Access to Primary Health Care and Health Outcomes: The Relationships between GP Characteristics and Mortality Rates," Working Papers in Economics 16/05, University of Bergen, Department of Economics.
    5. Or, Zeynep & Wang, Jia & Jamison, Dean, 2005. "International differences in the impact of doctors on health: a multilevel analysis of OECD countries," Journal of Health Economics, Elsevier, vol. 24(3), pages 531-560, May.
    6. Tussing, A. Dale & Wojtowycz, Martha A., 1986. "Physician-induced demand by Irish GPs," Social Science & Medicine, Elsevier, vol. 23(9), pages 851-860, January.
    7. John Robst & Glenn Graham, 1997. "Access to health care and current health status: do physicians matter?," Applied Economics Letters, Taylor & Francis Journals, vol. 4(1), pages 45-48.
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    Citations

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    Cited by:
    1. Eibich, Peter & Ziebarth, Nicolas R., 2014. "Analyzing regional variation in health care utilization using (rich) household microdata," Health Policy, Elsevier, vol. 114(1), pages 41-53.
    2. Peter Eibich & Nicolas R. Ziebarth, 2013. "Examining the Structure of Spatial Health Effects in Germany Using Hierarchical Bayes Models," SOEPpapers on Multidisciplinary Panel Data Research 620, DIW Berlin, The German Socio-Economic Panel (SOEP).
    3. Marmor, Theodore & Wendt, Claus, 2012. "Conceptual frameworks for comparing healthcare politics and policy," Health Policy, Elsevier, vol. 107(1), pages 11-20.

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