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Gravity for Health: an Application to State Mental Hospital Admissions in Texas

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  • de Mello-Sampayo, Felipa

Abstract

This paper discusses competing-destinations formulation of the gravity model for the flows of patients from their residential areas to health supplier regions. This approach explicitly acknowledges the interdependence of the patient flows between a set of alternative health supplier regions. This competing-destinations based approach may be implemented as a probabilistic demand function or conditional logit model, with a Poisson outcome. A Texas based case study of residential areas and State Mental Hospitals (SMHs) is presented. The results of the estimation do not lend support to the presence of scale effects in SMHs due to the size of population. This result, combined with the negative effect of ALOS and with the positive effect of the provision of forensic services on patient flows, highlights the problem of caseload growth in SMHs.

Suggested Citation

  • de Mello-Sampayo, Felipa, 2014. "Gravity for Health: an Application to State Mental Hospital Admissions in Texas," MPRA Paper 59758, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:59758
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    References listed on IDEAS

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    1. Daniele Fabbri & Silvana Robone, 2010. "The geography of hospital admission in a national health service with patient choice," Health Economics, John Wiley & Sons, Ltd., vol. 19(9), pages 1029-1047, September.
    2. Paulo Guimarães & Octávio Figueirdo & Douglas Woodward, 2003. "A Tractable Approach to the Firm Location Decision Problem," The Review of Economics and Statistics, MIT Press, vol. 85(1), pages 201-204, February.
    3. James E. Anderson & Eric van Wincoop, 2003. "Gravity with Gravitas: A Solution to the Border Puzzle," American Economic Review, American Economic Association, vol. 93(1), pages 170-192, March.
    4. Felipa De Mello-Sampayo, 2007. "The Location of the United States' FDI Under the Share Gravity Model," International Economic Journal, Taylor & Francis Journals, vol. 21(4), pages 491-519.
    5. Richard Dusansky & Çağatay Koç, 2010. "Implications of the Interaction Between Insurance Choice and Medical Care Demand," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 77(1), pages 129-144, March.
    6. Rosella Levaggi & Roberto Zanola, 2004. "Patients' migration across regions: the case of Italy," Applied Economics, Taylor & Francis Journals, vol. 36(16), pages 1751-1757.
    7. J. M. C. Santos Silva & Silvana Tenreyro, 2006. "The Log of Gravity," The Review of Economics and Statistics, MIT Press, vol. 88(4), pages 641-658, November.
    8. Wholey, Douglas & Feldman, Roger & Christianson, Jon B. & Engberg, John, 1996. "Scale and scope economies among health maintenance organizations," Journal of Health Economics, Elsevier, vol. 15(6), pages 657-684, December.
    9. Arthur Hau, 2008. "When Is a Coinsurance‐Type Insurance Policy Inferior or Even Giffen?," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 75(2), pages 343-364, June.
    10. A S Fotheringham, 1984. "Spatial Flows and Spatial Patterns," Environment and Planning A, , vol. 16(4), pages 529-543, April.
    11. Hoy, Michael & Robson, Arthur J., 1981. "Insurance as a Giffen good," Economics Letters, Elsevier, vol. 8(1), pages 47-51.
    12. Felipa de Mello-Sampayo, 2009. "Competing-destinations gravity model: an application to the geographic distribution of FDI," Applied Economics, Taylor & Francis Journals, vol. 41(17), pages 2237-2253.
    13. David Cantarero, 2006. "Health care and patients’ migration across Spanish regions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(2), pages 114-116, June.
    14. John R. Roy, 2004. "Spatial Interaction Modelling," Advances in Spatial Science, Springer, number 978-3-540-24807-1, Fall.
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    More about this item

    Keywords

    Gravity Model; Patients' Mobility; State Mental Hospital; Poisson Estimation;
    All these keywords.

    JEL classification:

    • C21 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • R12 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Size and Spatial Distributions of Regional Economic Activity; Interregional Trade (economic geography)

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