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首页> 外文期刊>Journal of Urban Economics >The influence of state policy and proximity to medical services on health outcomes
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The influence of state policy and proximity to medical services on health outcomes

机译:国家政策和就近医疗服务对健康结果的影响

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摘要

This paper examines two factors that help to explain geographic variation in health outcomes. The first factor concerns proximity to medical services. The second factor is state-specific health care policy that may impede access to nearby medical services. Four key findings are obtained. First, the effect of local doctors on reducing mortality rates of various diseases in a county attenuates with distance. Second, at approximately the same distance, in-state doctors contribute more to lowering mortality rates in the primary county than do out-of-state doctors. Third, the lesser impact of nearby out-of-state doctors is further reduced when the primary state adopts more stringent policies that restrict entry of out-of-state physicians. Fourth, the impact of nearby doctors is found to be stronger in more urbanized areas. This is consistent with agglomeration economies being effective in contributing, at least in part, to the productivity of treating patients.
机译:本文研究了两个有助于解释健康状况地理差异的因素。第一个因素涉及到医疗服务的接近性。第二个因素是特定于州的医疗保健政策,这可能会阻碍人们获得附近的医疗服务。获得了四个关键发现。首先,当地医生降低郡县各种疾病死亡率的效果随着距离的增加而减弱。其次,州内医生在相距大致相同的距离上,比州外医生对降低基层县死亡率的贡献更大。第三,当主要州采取更严格的政策限制州外医生的进入时,附近州外州医生的较小影响会进一步降低。第四,发现在城市化程度更高的地区,附近医生的影响更大。这与集聚经济有效地至少部分地提高了治疗患者的生产率相一致。

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