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Does the National Health Service Corps Improve Physician Supply in Underserved Locations?

  • George M. Holmes

    ()

    (Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill)

The National Health Service Corps (NHSC) is a large federal program aimed at improving health care access in underserved locations. Prior evaluations have found that Corps enrollees have a higher probability of leaving the initial practice location than non-enrollees. The paper addresses two potential problems with these evaluations. We extend the classic measure of NHSC success, remaining in the initial location, to control for self-selection into the program. Second, the paper employs a broader metric for measuring the success of the Corps. If Corps participants practice in an underserved area, then the program has increased the access to primary health care.

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File URL: http://college.holycross.edu/RePEc/eej/Archive/Volume30/V30N4P563_581.pdf
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Article provided by Eastern Economic Association in its journal Eastern Economic Journal.

Volume (Year): 30 (2004)
Issue (Month): 4 (Fall)
Pages: 563-581

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Handle: RePEc:eej:eeconj:v:30:y:2004:i:4:p:563-581
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  1. Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
  2. Thomas Mroz, . "The Sensitivity of an Empirical Model of Married Women's Hours of Work to Economic and Statistical Assumptions," University of Chicago - Population Research Center 84-8, Chicago - Population Research Center.
  3. Denis Bolduc & Bernard Fortin & Stephen Gordon, 1997. "Multinomial Probit Estimation of Spatially Interdependent Choices: An Empirical Comparison of Two New Techniques," International Regional Science Review, , vol. 20(1-2), pages 77-101, April.
  4. Joshua D. Angrist & Alan B. Krueger, 2001. "Instrumental Variables and the Search for Identification: From Supply and Demand to Natural Experiments," Journal of Economic Perspectives, American Economic Association, vol. 15(4), pages 69-85, Fall.
  5. Joseph P. Newhouse & Albert P. Williams & Bruce W. Bennett & William B. Schwartz, 1982. "Does the Geographical Distribution of Physicians Reflect Market Failure?," Bell Journal of Economics, The RAND Corporation, vol. 13(2), pages 493-505, Autumn.
  6. Bolduc, Denis & Fortin, Bernard & Fournier, Marc-Andre, 1996. "The Effect of Incentive Policies on the Practice Location of Doctors: A Multinomial Probit Analysis," Journal of Labor Economics, University of Chicago Press, vol. 14(4), pages 703-32, October.
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