Demand for and Regulation of Cardiac Services
AbstractEfforts to regionalize cardiac services can increase access costs for patients. This study quantifies this trade off by estimating the effects of changes in the regulation of hospital services on treatments and outcomes. A demand model for surgery services is specified in which heart attack victims form expectations of the need for and productivity of surgery in their choice of hospital and treatment. The results indicate that mortality is relatively insensitive to moderate changes in policy: changes in travel costs and volume offset one another. Despite similar health outcomes, the competing policies have different implications for taxpayers.
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Bibliographic InfoPaper provided by EconWPA in its series HEW with number 0502001.
Date of creation: 03 Feb 2005
Date of revision:
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heart attack; Medicare; dynamic discrete choice estimation;
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
This paper has been announced in the following NEP Reports:
- NEP-ALL-2005-04-16 (All new papers)
- NEP-DCM-2005-04-16 (Discrete Choice Models)
- NEP-HEA-2005-04-16 (Health Economics)
- NEP-REG-2005-04-16 (Regulation)
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