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首页> 外文期刊>Journal of health economics >Does competition from ambulatory surgical centers affect hospital surgical output?
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Does competition from ambulatory surgical centers affect hospital surgical output?

机译：非卧床手术中心的竞争是否会影响医院的手术产量？

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摘要

This paper estimates the effect of ambulatory surgical centers (ASCs) on hospital surgical volume using hospital and year fixed effects models with several robustness checks. We show that ASC entry only appears to influence a hospital's outpatient surgical volume if the facilities are within a few miles of each other. Even then, the average reduction in hospital volume is only 2-4%, which is not nearly large enough to offset the new procedures performed by an entering ASC. The effect is, however, stronger for large ASCs and the first ASCs to enter a market. Additionally, we find no evidence that entering ASCs reduce a hospital's inpatient surgical volume.
机译：本文使用具有几种鲁棒性检查的医院和年度固定效应模型，估计了门诊手术中心（ASC）对医院手术量的影响。我们显示，如果设施彼此之间只有几英里之遥，ASC进入似乎只会影响医院的门诊手术量。即使那样，医院的平均减少量也只有2-4％，这还不足以抵销进入ASC所执行的新程序。但是，对于大型ASC和首批进入市场的ASC来说，这种影响会更大。此外，我们没有发现证据表明进入ASC会减少医院的住院手术量。

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