Returns to Local-Area Healthcare Spending: Evidence from Health Shocks to Patients Far From Home.

Returns to Local-Area Healthcare Spending: Evidence from Health Shocks to Patients Far From Home.
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DOI:
10.1257/app.3.3.221
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发表时间:
2011-07
期刊:
American economic journal. Applied economics
影响因子:
--
通讯作者:
Doyle JJ Jr
Doyle JJ Jr
中科院分区:
其他
文献类型:
--
作者:
Doyle JJ Jr

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Healthcare spending varies widely across markets, and previous empirical studies find little evidence that higher spending translates into better health outcomes. The main innovation in this paper exploits this cross-sectional variation in hospital spending in a new way by considering patients who are exposed to healthcare systems not designed for them: patients far from home when a health emergency strikes. Visitors to Florida who become ill in high-spending areas have significantly lower mortality rates compared to visitors in lower-spending areas. The results are robust within groups of similar visitors and within groups of destinations that appear to be close demand substitutes—areas that likely attract similar visitors.
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