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Decentralization and centralization of healthcare resources: Investigating the associations of hospital competition and number of cardiologists per hospital with mortality and resource utilization in Japan

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  • Park, Sungchul
  • Lee, Jason
  • Ikai, Hiroshi
  • Otsubo, Tetsuya
  • Imanaka, Yuichi

Abstract

To investigate the associations of hospital competition and number of cardiologists per hospital (indicating the decentralization and centralization of healthcare resources, respectively) with 30-day in-hospital mortality, healthcare spending, and length of stay (LOS) among patients with acute myocardial infarction (AMI) in Japan.

Suggested Citation

  • Park, Sungchul & Lee, Jason & Ikai, Hiroshi & Otsubo, Tetsuya & Imanaka, Yuichi, 2013. "Decentralization and centralization of healthcare resources: Investigating the associations of hospital competition and number of cardiologists per hospital with mortality and resource utilization in ," Health Policy, Elsevier, vol. 113(1), pages 100-109.
    • Handle: RePEc:eee:hepoli:v:113:y:2013:i:1:p:100-109
    DOI: 10.1016/j.healthpol.2013.06.005
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    Cited by:

    1. Tsung-Hsien Yu & Ying-Yi Chou & Chung-Jen Wei & Yu-Chi Tung, 2017. "Are PCI Service Volumes Associated with 30-Day Mortality? A Population-Based Study from Taiwan," IJERPH, MDPI, vol. 14(11), pages 1-12, November.
    2. Manhal Ali & Reza Salehnejad & Mohaimen Mansur, 2018. "Hospital heterogeneity: what drives the quality of health care," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(3), pages 385-408, April.

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