Modeling Interregional Patient Mobility: Theory and Evidence From Spatially Explicit Data

Abstract

This article provides theory and evidence on the spatial determinants of regional patient flows. We develop a theoretical model that explains a patient's choice to consult a general practitioner by a measure of spatial accessibility. We empirically test this gravity‐type model using regional patient flows and detailed data on the spatial distribution of residents and physicians in Austria. Our measure of spatial accessibility is a crucial determinant of patient flows that substantially increases the explanatory power of regular gravity models. Counterfactual simulations show heterogeneous effects of exiting physicians on health‐care accessibility and patient mobility.