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Regionalization of Cardiac Services and the Responsiveness of Treatment Choices

Justin Trogdon

No 2004-03, School of Economics and Public Policy Working Papers from University of Adelaide, School of Economics and Public Policy

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.

Keywords: heart attack; Medicare; volume; discrete choice estimation (search for similar items in EconPapers)
JEL-codes: C35 I18 (search for similar items in EconPapers)
Pages: 30 pages
Date: 2004
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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