Distance to Hospitals and Children's Access to Care: Is Being Closer Better, and for Whom?
Distance to hospital may affect the utilization of primary preventative care if children rely on hospitals for such routine care. We explore this question using matched data from the National Longitudinal Survey of Youth's Child-Mother file and the American Hospital Association's 1990 Hospital Survey. Our measure of preventative care is whether or not a child has received a regular checkup in the past year. We find that distance to hospital has significant effects on the utilization of preventative care among central-city black children. For these children, each additional mile from the hospital is associated with a 3 percent decline in the probability of having had a checkup (from a mean baseline of 74 percent). This effect can be compared to the 3 percent increase in the probability of having a checkup which is associated with having private health insurance coverage. The size of this effect is similar for both the privately insured and those with Medicaid coverage, suggesting that even black urban children with private health insurance may have difficulty obtaining access to preventative care. In contrast, we find little evidence of a negative distance effect among white or Hispanic central-city children, suburban children, or rural children.
|Date of creation:||Dec 1998|
|Date of revision:|
|Publication status:||published as Currie, Janet and Patricia B. Reagan. "Distance To Hospital And Children's Use Of Preventive Care: Is Being Closer Better, And For Whom?," Economic Inquiry, 2003, v41(3,Jul), 378-391.|
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- Cutler David M. & Sheiner Louise, 1998. "Managed Care and the Growth of Medical Expenditures," Forum for Health Economics & Policy, De Gruyter, vol. 1(1), pages 1-41, January.
- Janet Currie & Duncan Thomas, 1995.
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Journal of Human Resources,
University of Wisconsin Press, vol. 30(1), pages 135-162.
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- Neal Halfon & Paul W. Newacheck & David L. Wood & Robert F. St. Peter, 1996. "Routine Emergency Department Use for Sick Care by Children in the United States," Mathematica Policy Research Reports b05babd5b7da4aebb07ab0bb8, Mathematica Policy Research.
- David M. Cutler & Louise Sheiner, 1998.
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in: Frontiers in Health Policy Research, Volume 1, pages 77-116
National Bureau of Economic Research, Inc.
- David M. Cutler & Louise Sheiner, 1997. "Managed Care and the Growth of Medical Expenditures," NBER Working Papers 6140, National Bureau of Economic Research, Inc.
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