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Estimating determinants of healthcare establishment locations with restricted federal administrative data

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  • Anders Van Sandt
  • Craig Wesley Carpenter
  • Rebekka Dudensing
  • Scott Loveridge

Abstract

We model the locational determinants of nine categories of healthcare services in the contiguous United States using restricted access federal establishment data. These data enable close examination of rural health services, which are subject to suppression in publicly published data sources. After reviewing differences in public and unsuppressed restricted data and testing underlying data generation processes for each healthcare industry, including the Poisson, negative binomial, and their zero‐inflated counterparts, we estimate marginal effects for four categories of independent variables: place‐based factors, financial access, characteristics of population, and industry interdependencies. Findings show establishments are less likely to be found with high concentrations of Medicare and Medicaid recipients, while agglomerations are associated with more establishments. Nonemployer establishments serve a broader spectrum of people, but the rural poor still experience less access to health care.

Suggested Citation

  • Anders Van Sandt & Craig Wesley Carpenter & Rebekka Dudensing & Scott Loveridge, 2021. "Estimating determinants of healthcare establishment locations with restricted federal administrative data," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1328-1346, June.
  • Handle: RePEc:wly:hlthec:v:30:y:2021:i:6:p:1328-1346
    DOI: 10.1002/hec.4242
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    1. Paulo Guimarães & Octávio Figueirdo & Douglas Woodward, 2003. "A Tractable Approach to the Firm Location Decision Problem," The Review of Economics and Statistics, MIT Press, vol. 85(1), pages 201-204, February.
    2. Martin Gaynor & Kate Ho & Robert J. Town, 2015. "The Industrial Organization of Health-Care Markets," Journal of Economic Literature, American Economic Association, vol. 53(2), pages 235-284, June.
    3. Craig Wesley Carpenter & Scott Loveridge, 2018. "Differences Between Latino-Owned Businesses and White-, Black-, or Asian-Owned Businesses: Evidence From Census Microdata," Economic Development Quarterly, , vol. 32(3), pages 225-241, August.
    4. Paulo Guimarães & Octávio Figueiredo & Douglas Woodward, 2004. "Industrial Location Modeling: Extending the Random Utility Framework," Journal of Regional Science, Wiley Blackwell, vol. 44(1), pages 1-20, February.
    5. Figueiredo, Octávio & Guimarães, Paulo & Woodward, Douglas, 2015. "Industry localization, distance decay, and knowledge spillovers: Following the patent paper trail," Journal of Urban Economics, Elsevier, vol. 89(C), pages 21-31.
    6. F. Moscone & E. Tosetti, 2010. "Health expenditure and income in the United States," Health Economics, John Wiley & Sons, Ltd., vol. 19(12), pages 1385-1403, December.
    7. Craig Wesley Carpenter & Scott Loveridge, 2019. "A spatial model of growth relationships and Latino-owned business," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 63(3), pages 541-557, December.
    8. Kalyan Chakraborty, 2012. "Estimation of Minimum Market Threshold for Retail Commercial Sectors," International Advances in Economic Research, Springer;International Atlantic Economic Society, vol. 18(3), pages 271-286, August.
    9. Capps, Cory & Dranove, David & Lindrooth, Richard C., 2010. "Hospital closure and economic efficiency," Journal of Health Economics, Elsevier, vol. 29(1), pages 87-109, January.
    10. David Mushinski & Stephen Weiler, 2002. "A Note on the Geographic Interdependencies of Retail Market Areas," Journal of Regional Science, Wiley Blackwell, vol. 42(1), pages 75-86, February.
    11. Santos Silva, J.M.C. & Tenreyro, Silvana, 2011. "Further simulation evidence on the performance of the Poisson pseudo-maximum likelihood estimator," Economics Letters, Elsevier, vol. 112(2), pages 220-222, August.
    12. Federico Ciliberto & Richard C. Lindrooth, 2007. "Exit From The Hospital Industry," Economic Inquiry, Western Economic Association International, vol. 45(1), pages 71-81, January.
    13. James W. Henderson & Thomas M. Kelly & Beck A. Taylor, 2000. "The Impact of Agglomeration Economies on Estimated Demand Thresholds: An Extension of Wensley and Stabler," Journal of Regional Science, Wiley Blackwell, vol. 40(4), pages 719-733, November.
    14. Steven J. Davis & R. Jason Faberman & John Haltiwanger, 2006. "The Flow Approach to Labor Markets: New Data Sources and Micro-Macro Links," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 3-26, Summer.
    15. Avdic, Daniel & Lundborg, Petter & Vikström, Johan, 2019. "Estimating returns to hospital volume: Evidence from advanced cancer surgery," Journal of Health Economics, Elsevier, vol. 63(C), pages 81-99.
    16. Craig Wesley Carpenter & Scott Loveridge, 2020. "Business, Owner, and Regional Characteristics in Latino-owned Business Growth: An Empirical Analysis Using Confidential Census Microdata," International Regional Science Review, , vol. 43(3), pages 254-285, May.
    17. Wilson, Paul, 2015. "The misuse of the Vuong test for non-nested models to test for zero-inflation," Economics Letters, Elsevier, vol. 127(C), pages 51-53.
    18. Gordon Mulligan & Mark Partridge & John Carruthers, 2012. "Central place theory and its reemergence in regional science," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 48(2), pages 405-431, April.
    19. Ron S Jarmin & Javier Miranda, 2002. "The Longitudinal Business Database," Working Papers 02-17, Center for Economic Studies, U.S. Census Bureau.
    20. John Haltiwanger & Ron S. Jarmin & Javier Miranda, 2013. "Who Creates Jobs? Small versus Large versus Young," The Review of Economics and Statistics, MIT Press, vol. 95(2), pages 347-361, May.
    21. Lucia Foster & John Haltiwanger & C. J. Krizan, 2006. "Market Selection, Reallocation, and Restructuring in the U.S. Retail Trade Sector in the 1990s," The Review of Economics and Statistics, MIT Press, vol. 88(4), pages 748-758, November.
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    Cited by:

    1. Van Sandt, Anders & Carpenter, Craig Wesley, "undated". "A Note on the Locational Determinants of the Agricultural Supply Chain," 2020 Annual Meeting, February 1-4, 2020, Louisville, Kentucky 302306, Southern Agricultural Economics Association.
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    3. Carpenter, Craig Wesley & Fannin, J. Matthew, 2021. "Back to the Future: Re-Incorporation of `Metropolitan Character' in U.S. Core-Based Statistical Area Delineations," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 51(2), August.

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