Spatial Disparities in Hospital Performances

Laurent Gobillon and Carine Milcent

No 2010-19, Working Papers from Center for Research in Economics and Statistics

Abstract: Spatial disparities in mortality can result from spatial differences in patientcharacteristics, treatments, hospital characteristics, and local healthcare marketstructure. To distinguish between these explanatory factors, we estimate a fexibleduration model on stays in hospital for a heart attack using a French exhaustivedataset. Over the 1998-2003 period, the raw disparities in the propensity to die within15 days between the extreme regions reaches 80%. It decreases to 47% after takinginto account the patients' characteristics and their treatments. We conduct a varianceanalysis to explain regional disparities in mortality. Whereas spatial variations in theuse of innovative treatments play the most important role, spatial differences in thelocal concentration of patients also play a significant role.

Pages: 57
Date: 2010
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Citations: View citations in EconPapers (1)

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Related works:
Journal Article: Spatial disparities in hospital performance (2013)
Working Paper: Spatial disparities in hospital performance (2013)
Working Paper: Spatial disparities in hospital performance (2013)
Working Paper: Spatial Disparities in Hospital Performance (2012)
Working Paper: Spatial disparities in hospital performances (2010)
Working Paper: Spatial Disparities in Hospital Performances (2010)
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