کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
7363171 1478964 2016 17 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Improving efficiency or impairing access? Health care consolidation and quality of care: Evidence from emergency hospital closures in Sweden
ترجمه فارسی عنوان
بهبود کارایی یا کاهش دسترسی؟ تداوم مراقبت های بهداشتی و کیفیت مراقبت: شواهد از بستن بیمارستان های اضطراری در سوئد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی
Recent health care consolidation trends raise the important policy question whether improved emergency medical services and enhanced productivity can offset adverse quality effects from decreased access. This paper empirically analyzes how geographical distance from an emergency hospital affects the probability of surviving an acute myocardial infarction (AMI), accounting for health-based spatial sorting and data limitations on out-of-hospital mortality. Exploiting policy-induced variation in hospital distance derived from emergency hospital closures and detailed Swedish mortality data over two decades, results show a drastically decreasing probability of surviving an AMI as residential distance from a hospital increases one year after a closure occurred. The effect disappears in subsequent years, however, suggesting that involved agents quickly adapted to the new environment.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Health Economics - Volume 48, July 2016, Pages 44-60
نویسندگان
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