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Demand for and Regulation of Cardiac Services

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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 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.

Suggested Citation

  • Justin G. Trogdon, 2005. "Demand for and Regulation of Cardiac Services," HEW 0502001, University Library of Munich, Germany.
  • Handle: RePEc:wpa:wuwphe:0502001
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    References listed on IDEAS

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    More about this item

    Keywords

    heart attack; Medicare; dynamic discrete choice estimation;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • 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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