IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v132y2023ics0168851023001070.html
   My bibliography  Save this article

Access to outpatient care in Manhattan and Paris: A tale of real change in two world cities

Author

Listed:
  • Gusmano, Michael K.
  • Weisz, Daniel
  • Mercier, Grégoire
  • Vasile, Maria
  • Rodwin, Victor G.

Abstract

France's system of universal health insurance (UHI) offers more equitable access to outpatient care than the patchwork system in the U.S., which does not have a UHI system. We investigate the degree to which the implementation of the Patient Protection and Affordable Care Act (ACA) has narrowed the gap in access to outpatient care between France and the U.S. To do so, we update a previous comparison of access to outpatient care in Manhattan and Paris as measured by age-adjusted rates of hospital discharge for avoidable hospital conditions (AHCs). We compare these rates immediately before and after the implementation of the ACA in 2014. We find that AHC rates in Manhattan declined by about 25% and are now lower than those in Paris. Despite evidence that access to outpatient care in Manhattan has improved, Manhattanites continue to experience greater residence-based neighborhood inequalities in AHC rates than Parisians. In Paris, there was a 3% increase in AHC rates and neighborhood-level inequalities increased significantly. Our analysis highlights the persistence of access barriers to outpatient care in Manhattan, particularly among racial and ethnic minorities, even following the expansion of health insurance coverage.

Suggested Citation

  • Gusmano, Michael K. & Weisz, Daniel & Mercier, Grégoire & Vasile, Maria & Rodwin, Victor G., 2023. "Access to outpatient care in Manhattan and Paris: A tale of real change in two world cities," Health Policy, Elsevier, vol. 132(C).
    • Handle: RePEc:eee:hepoli:v:132:y:2023:i:c:s0168851023001070
    DOI: 10.1016/j.healthpol.2023.104822
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851023001070
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2023.104822?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Scott, Allen J. (ed.), 2001. "Global City-Regions: Trends, Theory, Policy," OUP Catalogue, Oxford University Press, number 9780198297994, Decembrie.
    2. Pappas, G. & Hadden, W.C. & Kozak, L.J. & Fisher, G.F., 1997. "Potentially avoidable hospitalizations: Inequalities in rates between US socioeconomic groups," American Journal of Public Health, American Public Health Association, vol. 87(5), pages 811-816.
    3. Daniel Weisz & Michael K. Gusmano & Caroline Laborde & Valerie Feron & Victor G. Rodwin, 2022. "The evolution of infant mortality and neighbourhood inequalities in four world cities: 1988–2016," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1545-1554, May.
    4. Dieu Thanh Le & Hail Park, 2020. "The Impact Of Demographic Change On Economic Growth," The Singapore Economic Review (SER), World Scientific Publishing Co. Pte. Ltd., vol. 65(02), pages 471-484, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mace, Alan & Holman, Nancy & Paccoud, Antoine & Sundaresan, Jayaraj, 2015. "Coordinating density; working through conviction, suspicion and pragmatism," LSE Research Online Documents on Economics 56768, London School of Economics and Political Science, LSE Library.
    2. Jennifer Robinson, 2011. "Cities in a World of Cities: The Comparative Gesture," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 35(1), pages 1-23, January.
    3. Bo Liu & Desheng Xue & Yiming Tan, 2019. "Deciphering the Manufacturing Production Space in Global City-Regions of Developing Countries—a Case of Pearl River Delta, China," Sustainability, MDPI, vol. 11(23), pages 1-26, December.
    4. John Parr, 2015. "The city and the region as contrasts in spatial organization," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 54(3), pages 797-817, May.
    5. HaeRan Shin & Quentin Stevens, 2013. "How Culture and Economy Meet in South Korea: The Politics of Cultural Economy in Culture-led Urban Regeneration," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 37(5), pages 1707-1723, September.
    6. Anthony Goerzen & Michael Sartor & Kristin Brandl & Stacey Fitzsimmons, 2023. "Widening the lens: Multilevel drivers of firm corporate social performance," Journal of International Business Studies, Palgrave Macmillan;Academy of International Business, vol. 54(1), pages 42-60, February.
    7. Vicente Romero de à vila Serrano, 2019. "The Intrametropolitan Geography of Knowledge-Intensive Business Services (KIBS): A Comparative Analysis of Six European and U.S. City-Regions," Economic Development Quarterly, , vol. 33(4), pages 279-295, November.
    8. Robert R. Hewitt, 2014. "Globalization and Landscape Architecture," SAGE Open, , vol. 4(1), pages 21582440135, February.
    9. René Véron, 2010. "Small Cities, Neoliberal Governance and Sustainable Development in the Global South: A Conceptual Framework and Research Agenda," Sustainability, MDPI, vol. 2(9), pages 1-16, September.
    10. Michael Storper & Anthony J. Venables, 2004. "Buzz: face-to-face contact and the urban economy," Journal of Economic Geography, Oxford University Press, vol. 4(4), pages 351-370, August.
    11. Michał Myck & Mateusz Najsztub, 2020. "Implications of the Polish 1999 administrative reform for regional socio‐economic development," Economics of Transition and Institutional Change, John Wiley & Sons, vol. 28(4), pages 559-579, October.
    12. Samira Oukarfi & Maurice Baslé, 2009. "Public-sector financial incentives for business relocation and effectiveness measures based on company profile and geographic zone," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 43(2), pages 509-526, June.
    13. Ludovic Halbert, 2008. "Examining the Mega-City-Region Hypothesis: Evidence from the Paris City-Region/Bassin parisien," Regional Studies, Taylor & Francis Journals, vol. 42(8), pages 1147-1160.
    14. Walter J. Nicholls, 2011. "The Los Angeles School: Difference, Politics, City," International Journal of Urban and Regional Research, Wiley Blackwell, vol. 35(1), pages 189-206, January.
    15. H.S. Geyer & H.S. Geyer & D. Du Plessis, 2015. "Primary Cities in Sub-Saharan Africa: Quasars, Loose Connections, and Black Holes," International Planning Studies, Taylor & Francis Journals, vol. 20(1-2), pages 39-51, May.
    16. Delgado, Mercedes & Porter, Michael E. & Stern, Scott, 2014. "Clusters, convergence, and economic performance," Research Policy, Elsevier, vol. 43(10), pages 1785-1799.
    17. Fulong Wu, 2020. "Adding new narratives to the urban imagination: An introduction to ‘New directions of urban studies in China’," Urban Studies, Urban Studies Journal Limited, vol. 57(3), pages 459-472, February.
    18. Rodrigo V Cardoso & Evert J Meijers, 2017. "The metropolitan name game: The pathways to place naming shaping metropolitan regions," Environment and Planning A, , vol. 49(3), pages 703-721, March.
    19. Jiangbo Bie & Martin de Jong & Ben Derudder, 2015. "Greater Pearl River Delta: Historical Evolution towards a Global City-Region," Journal of Urban Technology, Taylor & Francis Journals, vol. 22(2), pages 103-123, April.
    20. Hui Li & Xue Huang & Qing Xu & Shuntao Wang & Wanqi Guo & Yan Liu & Yilin Huang & Junzhi Wang, 2023. "A New Approach to Evaluate the Sustainability of Ecological and Economic Systems in Megacity Clusters: A Case Study of the Guangdong–Hong Kong–Macau Bay Area," Sustainability, MDPI, vol. 15(7), pages 1-25, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:132:y:2023:i:c:s0168851023001070. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.