Spatial disparities in hospital performances

Laurent Gobillon and Carine Milcent

No 1007, CEPREMAP Working Papers (Docweb) from CEPREMAP

Abstract: Spatial disparities in mortality can result from spatial di¤erences in patient characteristics, treatments, hospital characteristics, and local healthcare market structure. To distinguish between these explanatory factors, we estimate a flexible duration model on stays in hospital for a heart attack using a French exhaustive dataset. Over the 1998-2003 period, the raw disparities in the propensity to die within 15 days between the extreme regions reaches 80 %. It decreases to 47% after taking into account the patients' characteristics and their treatments. We conduct a variance analysis to explain regional disparities in mortality. Whereas spatial variations in the use of innovative treatments play the most important role, spatial di¤erences in the local concentration of patients also play a significant role.

Keywords: Spatial Health Disparities; Economic Geography; Stratified Duration Model (search for similar items in EconPapers)
JEL-codes: C41 I11 (search for similar items in EconPapers)
Pages: 57 pages
Date: 2010-06
New Economics Papers: this item is included in nep-geo, nep-hea and nep-ure
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
http://www.cepremap.fr/depot/docweb/docweb1007.pdf (application/pdf)

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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Persistent link: https://EconPapers.repec.org/RePEc:cpm:docweb:1007

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