Demand For And Regulation Of Cardiac Services
AbstractCentralization of cardiac services can increase hospital surgery volumes and decrease access for patients. This study estimates the effects of changes in the regulation of cardiac services on treatments, mortality, and utility. Demand for surgery services by heart attack victims who form expectations of the need for and productivity of surgery in their choice of hospital and treatment is estimated. The results indicate that mortality and ex ante utility are insensitive to moderate changes in policy: Changes in surgery volume and travel costs offset one another. Despite similar health outcomes, the competing policies have different implications for taxpayers. Copyright � (2009) by the Economics Department of the University of Pennsylvania and the Osaka University Institute of Social and Economic Research Association.
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Bibliographic InfoArticle provided by Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association in its journal International Economic Review.
Volume (Year): 50 (2009)
Issue (Month): 4 (November)
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Other versions of this item:
- I12 - Health, Education, and Welfare - - Health - - - Health Production
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- C35 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions
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- Susan Athey & Scott Stern, 2000.
"The Adoption and Impact of Advanced Emergency Response Services,"
in: The Changing Hospital Industry: Comparing For-Profit and Not-for-Profit Institutions, pages 113-168
National Bureau of Economic Research, Inc.
- Susan Athey & Scott Stern, 1998. "The Adoption and Impact of Advanced Emergency Response Services," NBER Working Papers 6595, National Bureau of Economic Research, Inc.
- Michael P. Keane & Kenneth I. Wolpin, 1994.
"The solution and estimation of discrete choice dynamic programming models by simulation and interpolation: Monte Carlo evidence,"
Staff Report, Federal Reserve Bank of Minneapolis
181, Federal Reserve Bank of Minneapolis.
- Keane, Michael P & Wolpin, Kenneth I, 1994. "The Solution and Estimation of Discrete Choice Dynamic Programming Models by Simulation and Interpolation: Monte Carlo Evidence," The Review of Economics and Statistics, MIT Press, vol. 76(4), pages 648-72, November.
- John Rust & Christopher Phelan, 1997.
"How Social Security and Medicare Affect Retirement Behavior in a World of Incomplete Markets,"
Econometrica, Econometric Society,
Econometric Society, vol. 65(4), pages 781-832, July.
- John Rust & Christopher Phelan, 1994. "How Social Security and Medicare Affect Retirement Behavior in a World of Incomplete Markets," Public Economics, EconWPA 9406005, EconWPA, revised 06 Jul 1994.
- Rust, J., 1994. "How Social Security and Medicare Affect Retirement Behavior in a World of Incomplete Markets," Working papers, Wisconsin Madison - Social Systems 9430, Wisconsin Madison - Social Systems.
- Donna B. Gilleskie, 1998. "A Dynamic Stochastic Model of Medical Care Use and Work Absence," Econometrica, Econometric Society, Econometric Society, vol. 66(1), pages 1-46, January.
- Dranove, David & White, William D, 1994. "Recent Theory and Evidence on Competition in Hospital Markets," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 3(1), pages 169-209, Spring.
- Dracup, Kathleen & Moser, Debra K. & Eisenberg, Mickey & Meischke, Hendrika & Alonzo, Angelo A. & Braslow, Allan, 1995. "Causes of delay in seeking treatment for heart attack symptoms," Social Science & Medicine, Elsevier, vol. 40(3), pages 379-392, February.
- Justin G. Trogdon, 2004.
"Regionalization of Cardiac Services and the Responsiveness of Treatment Choices,"
School of Economics Working Papers
2004-03, University of Adelaide, School of Economics.
- Justin G. Trogdon, 2004. "Regionalization of Cardiac Services and the Responsiveness of Treatment Choices," HEW, EconWPA 0411001, EconWPA.
- Daniel A. Ackerberg, 2001.
"A New Use of Importance Sampling to Reduce Computational Burden in Simulation Estimation,"
NBER Technical Working Papers
0273, National Bureau of Economic Research, Inc.
- Daniel Ackerberg, 2009. "A new use of importance sampling to reduce computational burden in simulation estimation," Quantitative Marketing and Economics, Springer, Springer, vol. 7(4), pages 343-376, December.
- Arcidiacono, Peter & Jones, John B., 2000.
"Finite Mixture Distribution, Sequential Likelihood, and the EM Algorithm,"
Working Papers, Duke University, Department of Economics
00-16, Duke University, Department of Economics.
- Peter Arcidiacono & John Bailey Jones, 2003. "Finite Mixture Distributions, Sequential Likelihood and the EM Algorithm," Econometrica, Econometric Society, Econometric Society, vol. 71(3), pages 933-946, 05.
- Daniel P. Kessler & Mark B. McClellan, 2000. "Is Hospital Competition Socially Wasteful?," The Quarterly Journal of Economics, MIT Press, MIT Press, vol. 115(2), pages 577-615, May.
- Heckman, James & Singer, Burton, 1984. "A Method for Minimizing the Impact of Distributional Assumptions in Econometric Models for Duration Data," Econometrica, Econometric Society, Econometric Society, vol. 52(2), pages 271-320, March.
- Barton H. Hamilton & Vivian H. Hamilton, 1997. "Estimating surgical volume-outcome relationships applying survival models: accounting for frailty and hospital fixed effects," Health Economics, John Wiley & Sons, Ltd., vol. 6(4), pages 383-395.
- McGuire, Thomas G., 2000. "Physician agency," Handbook of Health Economics, Elsevier, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 9, pages 461-536 Elsevier.
- Dranove, David & Satterthwaite, Mark A., 2000. "The industrial organization of health care markets," Handbook of Health Economics, Elsevier, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 20, pages 1093-1139 Elsevier.
- Hodgkin, Dominic, 1996. "Specialized service offerings and patients' choice of hospital: The case of cardiac catheterization," Journal of Health Economics, Elsevier, vol. 15(3), pages 305-332, June.
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