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Regionalization of Cardiac Services and the Responsiveness of Treatment Choices

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  • Justin G. Trogdon

    (School of Economics, University of Adelaide)

Abstract

Efforts to regionalize cardiac services can increase access costs for patients. This study is the first to quantify this trade off by estimating a demand model for surgery services that is used simulate the effect of centralization of cardiac services on hospital and treatment choices. The model is estimated using a sample of Medicare beneficiaries from the Cooperative Cardiovascular Project. Regulation policies that alter both the quality of providers and access to the providers, such as minimum volume thresholds, need to consider that patients will respond to changes in both dimensions.

Suggested Citation

  • Justin G. Trogdon, 2004. "Regionalization of Cardiac Services and the Responsiveness of Treatment Choices," HEW 0411001, University Library of Munich, Germany.
  • Handle: RePEc:wpa:wuwphe:0411001
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    References listed on IDEAS

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    Cited by:

    1. Justin G. Trogdon, 2009. "Demand For And Regulation Of Cardiac Services," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 50(4), pages 1183-1204, November.

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    More about this item

    Keywords

    heart attack; Medicare; volume; discrete choice estimation;
    All these keywords.

    JEL classification:

    • 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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