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来源类型Working Paper
规范类型报告
DOI10.3386/w28266
来源IDWorking Paper 28266
Supply-Side Variation in the Use of Emergency Departments
Dan Zeltzer; Liran Einav; Avichai Chasid; Ran D. Balicer
发表日期2020-12-28
出版年2020
语种英语
摘要We study the role of person-specific and place-specific factors in explaining geographic variation in emergency department (ED) utilization using detailed data on 150,000 patients who moved regions within Israel. We document that about half of the destination-origin differences in the average ED utilization rate across districts translates to the change (up or down) in movers’ propensity to visit the ED. In contrast, we find no change in the probability of having an unplanned hospital admission (that is, via the ED), implying that the entire change in ED use by movers is driven by ED visits that do not lead to hospital admission. Similar results are obtained in a complementary event study, which uses hospital entry as a source of variation. The results from both approaches suggest that supply-side variation in ED access affects only the less severe cases—for which close substitutes likely exist—and that variation across ED physicians in their propensity to admit patients is not explained by place-specific factors, such as differences in incentives, capacity, or diagnostic quality.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w28266
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/585939
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GB/T 7714
Dan Zeltzer,Liran Einav,Avichai Chasid,et al. Supply-Side Variation in the Use of Emergency Departments. 2020.
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