The effects of agglomeration on interregional hospital patient flow

Munn, Johnathan; Padgett, Caroliniana S.

doi:10.1007/s12197-013-9275-x

Cited by 3 publications

(15 citation statements)

References 25 publications

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“…The evidence of the better performance of the agglomeration hospitals may be interpreted as the result of productivity gains and cost savings arising from the accumulation of diverse economic activities in hospitals' proximity existing in big cities. Such a factor is emphasized by Lucas and Munn and Padgett . It can be explained by the fact that many hospitals' everyday activity is based on outsourcing.…”

Section: Discussionmentioning

confidence: 99%

“…It attracts patients, and therefore, the agglomeration hospitals may be more willingly chosen by them. In such a case, the agglomeration hospitals may be seen as nontraditional exporters of healthcare services in the meaning of Munn and Padgett . The increased demand for medical services results in increased funding from the National Health Fund.…”

Section: Discussionmentioning

confidence: 99%

“…However, there are also obviously some points supporting locating hospitals in smaller towns. One of such reasons is that generally patients prefer to be hospitalized locally, not far away from their homes and families, instead of travelling long distances to get hospital treatment . Generally, the increased distance to the closest hospital may be connected with the reduced access to healthcare.…”

Section: Agglomeration Effect and Agglomeration Economies—the Literatmentioning

confidence: 99%

“…Despite the fact that generally patients may prefer to be treated in local hospitals, the flow of patients between different locations exists. The study conducted by Munn and Padgett, taking into account some aspects of agglomeration economy, is aimed at presenting the hospital sector as an exporting industry. The authors indicate that hospitals, due to their ability to bring money in from outside the region, can be seen as nontraditional exporters of services.…”

Section: Agglomeration Effect and Agglomeration Economies—the Literatmentioning

confidence: 99%

“…The idea of this phenomenon is widely discussed in the further part of this article. Generally, it is associated with productivity gains and cost savings coming from a geographic accumulation of economic activity arising from the presence of cities …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Does the agglomeration effect occur in the hospital sector? The impact of agglomeration economies on the financial performance of hospitals—An evidence from Poland

Krzeczewski

Krzeczewska

Pluskota

et al. 2018

Health Planning & Management

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Summary The main aim of the article is to analyze the occurrence of agglomeration effect in the hospital sector on the basis of financial performance. The considerations are made on the example of hospitals in Poland—the country that survived the latest economic crisis relatively well, usually generating positive values of GDP, but where still there is an ongoing discussion on the final shape of healthcare financing model. The article is based on the assumption that there occur significant differences in financial performance between hospitals according to their location. The research hypothesis is as follows: Hospitals operating in big cities are featured by better financial condition than their counterparts operating in smaller towns. To verify the hypothesis, the methods of financial analysis and statistical hypothesis testing are used. As it is emphasized in the article, the assumption is true and the hypothesis can be verified positively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Agglomeration Effect and Agglomeration Economies—the Literatmentioning

confidence: 99%

Section: Agglomeration Effect and Agglomeration Economies—the Literatmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Does the agglomeration effect occur in the hospital sector? The impact of agglomeration economies on the financial performance of hospitals—An evidence from Poland

Krzeczewski

Krzeczewska

Pluskota

et al. 2018

Health Planning & Management

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Regionalization for health improvement: A systematic review

et al. 2020

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Regionalization is the integrated organization of a healthcare system, wherein regional structures are responsible for providing and administrating health services in a specific region. This method was adopted by several countries to improve the quality of provided care and to properly utilize available resources. Thus, a systematic review was conducted to verify effective interventions to improve health and management indicators within the health services regionalization. The protocol was registered in PROSPERO (CRD42016042314). We performed a systematic search in databases during February and March 2017 which was updated in October 2020. There was no language or date restriction. We included experimental and observational studies with interventions focused on regionalization-related actions, measures or policies aimed at decentralizing and organizing health offerings, rationalizing scarce capital and human resources, coordinating health services. A methodological assessment of the studies was performed using instruments from the Joanna Briggs Institute and GRADE was also used to assess outcomes. Thirty-nine articles fulfilled the eligibility criteria and sixteen interventions were identified that indicated different degrees of recommendations for improving the management of health system regionalization. The results showed that regionalization was effective under administrative decentralization and for rationalization of resources. The most investigated intervention was the strategy of concentrating procedures in high-volume hospitals, which showed positive outcomes, especially with the reduction of hospitalization days and in-hospital mortality rates. When implementing regionalization, it must be noted that it involves changes in current standards of health practice and in the distribution of health resources, especially for specialized services.

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The effects of agglomeration on interregional hospital patient flow

Cited by 3 publications

References 25 publications

Does the agglomeration effect occur in the hospital sector? The impact of agglomeration economies on the financial performance of hospitals—An evidence from Poland

Does the agglomeration effect occur in the hospital sector? The impact of agglomeration economies on the financial performance of hospitals—An evidence from Poland

Regionalization for health improvement: A systematic review

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