The marginal benefit of hospitals: Evidence from the effect of entry and exit on utilization and mortality rates

Petek, Nathan

doi:10.1016/j.jhealeco.2022.102688

Cited by 3 publications

(1 citation statement)

References 39 publications

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“…These results help reconcile two notable aspects of US healthcare policy. First, a range of recent studies find medical outcomes that match our predictions: patients who travel farther for care in larger markets tend to have better outcomes (Petek, 2022;Fischer, Royer, and White, 2022;Battaglia, 2022). Second, there is nevertheless a major political and policy effort to subsidize production in rural areas.…”

Section: Tradeoffs and Counterfactual Scenariossupporting

confidence: 63%

Market Size and Trade in Medical Services

Dingel¹,

Gottlieb²,

Lozinski³

et al. 2023

Preprint

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We measure the importance of increasing returns to scale and trade in medical services. Using Medicare claims data, we document that "imported" medical careservices produced by a medical provider in a different region-constitute about onefifth of US healthcare consumption. Larger regions specialize in producing less common procedures, which are traded more. These patterns reflect economies of scale: larger regions produce higher-quality services because they serve more patients. Because of increasing returns and trade costs, policies to improve access to care face a proximityconcentration tradeoff. Production subsidies and travel subsidies can impose contrasting spillovers on neighboring regions.

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Section: Tradeoffs and Counterfactual Scenariossupporting

confidence: 63%

Market Size and Trade in Medical Services

Dingel¹,

Gottlieb²,

Lozinski³

et al. 2023

Preprint

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The Corporatization of Independent Hospitals

Andreyeva,

Gupta,

Ishitani

et al. 2024

Journal of Political Economy Microeconomics

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Does Health-Care Consolidation Harm Patients? Evidence from Maternity Ward Closures

Avdic,

Lundborg,

Vikström

2024

American Economic Journal: Economic Policy

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We study how closures of maternity wards affect maternal and neonatal health. Using data on all hospital births in Sweden between 1990 and 2004, we compare changes in birth-related outcomes across hospital catchment areas that were differently exposed to ward closures. Our findings show that the closures increased maternal obstetric trauma but also decreased fetal stress and infant trauma among newborns. Adverse maternal outcomes are mainly driven by ward overcrowding, whereas increases in travel distance have no distinguishable effects. Positive effects on infant health reflect a shift of births from smaller to larger wards of higher quality. (JEL D24, G34, I11, I12, I18, J13, J16)

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The marginal benefit of hospitals: Evidence from the effect of entry and exit on utilization and mortality rates

Cited by 3 publications

References 39 publications

Market Size and Trade in Medical Services

Market Size and Trade in Medical Services

The Corporatization of Independent Hospitals

Does Health-Care Consolidation Harm Patients? Evidence from Maternity Ward Closures

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