Spatial Disparities in Hospital Performances

Laurent Gobillon and Carine Milcent

No 7826, CEPR Discussion Papers from C.E.P.R. Discussion Papers

Abstract: Spatial disparities in mortality can result from spatial differences in patient characteristics, treatments, hospital characteristics, and local healthcare market structure. To distinguish between these explanatory factors, we estimate a fexible 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 differences in the local concentration of patients also play a significant role.

Keywords: Economic geography; Spatial health disparities; Stratified duration model (search for similar items in EconPapers)
JEL-codes: C41 I11 (search for similar items in EconPapers)
Date: 2010-05
References: Add references at CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://cepr.org/publications/DP7826 (application/pdf)
CEPR Discussion Papers are free to download for our researchers, subscribers and members. If you fall into one of these categories but have trouble downloading our papers, please contact us at subscribers@cepr.org

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)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:cpr:ceprdp:7826

Ordering information: This working paper can be ordered from
https://cepr.org/publications/DP7826

Access Statistics for this paper

More papers in CEPR Discussion Papers from C.E.P.R. Discussion Papers Centre for Economic Policy Research, 33 Great Sutton Street, London EC1V 0DX.
Bibliographic data for series maintained by ().