全球智库信息集成服务系统(G2TT): Does Decreased Access to Emergency Departments Affect Patient Outcomes? Analysis of AMI Population 1996-2005

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w16690
来源ID	Working Paper 16690
	Does Decreased Access to Emergency Departments Affect Patient Outcomes? Analysis of AMI Population 1996-2005
	Yu-Chu Shen; Renee Y. Hsia
发表日期	2011-01-13
出版年	2011
语种	英语
摘要	We analyze whether decreased emergency department access (measured by increased driving time to the nearest ED) results in adverse patient outcomes or changes in the patient health profile for patients suffering from acute myocardial infarction. Data sources include 100% Medicare Provider Analysis and Review, AHA hospital annual surveys, Medicare hospital cost reports, and longitude and latitude information for 1995-2005. We define four ED access change categories and estimate a zip codes fixed-effects regression models on the following AMI outcomes: time-specific mortality rates, age, and probability of PTCA on the day of admission. We find a small increase in 30-day to 1-year mortality rates among patients in communities that experience <10-minute increase in driving time. Among patients in communities with >30-minute increases in driving time, we find a substantial increase in long-term mortality rates, a shift to younger ages (suggesting that the older ones die en route) and a higher probability of immediate PTCA. Most of the adverse effects disappear after the initial three-year transition window.
主题	Health, Education, and Welfare ; Health
URL	https://www.nber.org/papers/w16690
来源智库	National Bureau of Economic Research (United States)
引用统计
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/574365
推荐引用方式 GB/T 7714	Yu-Chu Shen,Renee Y. Hsia. Does Decreased Access to Emergency Departments Affect Patient Outcomes? Analysis of AMI Population 1996-2005. 2011.

条目包含的文件
文件名称/大小	资源类型	版本类型	开放类型	使用许可
w16690.pdf（1194KB）	智库出版物		限制开放	CC BY-NC-SA	浏览