Geographical Distribution of Emergency Department Closures and Consequences on Heart Attack Patients

Yu-Chu Shen and Renee Y. Hsia

No 22861, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: We develop a conceptual framework and empirically investigate how a permanent emergency department (ED) closure affects patients with acute myocardial infarction (AMI). We first document that large increases in driving time to closest ED are more likely to happen in low-income communities and communities that had fewer medical resources at baseline. Then using a difference-in-differences design, we estimate the effect of an ED closure on access to cardiac care technology, treatment, and health outcomes among Medicare patients with AMI who lived in 24,567 ZIP codes that experienced no change, an increase of

JEL-codes: I11 I14 (search for similar items in EconPapers)
Date: 2016-11
New Economics Papers: this item is included in nep-hea
Note: AG EH
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Citations: View citations in EconPapers (3)

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