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Preventable illness and out‐of‐area travel of children in New York counties

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  • Jayasree Basu
  • Bernard Friedman

Abstract

The long‐distance travellers could be important to any cost–benefit assessment of policies to increase or improve local resources. This study examines the out‐of‐area hospital admission pattern for patients with Ambulatory Care Sensitive (ACS) conditions, also known as preventable conditions. The availability of local resources play a significant role for hospitalization for these conditions. Despite a growing literature investigating hospital choice, little is known about the effects of resource availabilities in local areas and patient characteristics prompting people to seek care at a longer distance from home for these conditions. Based on hospital discharge data for New York residents (children) admitted to hospitals in New York, Pennsylvania, New Jersey or Connecticut in 1994, the study uses logistic regression to predict travel out of the local area for ACS admission. The actual distance between residence and hospital is a highly skewed and problematic measure, but the crossing of county boundaries is a related and very useful dichotomous measure of distant hospitalization. The study finds a strong association of types of insurance and availability of primary care with episodes of hospitalization for children outside the area of residence, after controlling for severity of illness and several other patient and county characteristics. Copyright © 2001 John Wiley & Sons, Ltd.

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  • Jayasree Basu & Bernard Friedman, 2001. "Preventable illness and out‐of‐area travel of children in New York counties," Health Economics, John Wiley & Sons, Ltd., vol. 10(1), pages 67-78, January.
    • Handle: RePEc:wly:hlthec:v:10:y:2001:i:1:p:67-78
    DOI: 10.1002/1099-1050(200101)10:1<67::AID-HEC562>3.0.CO;2-K
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    References listed on IDEAS

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    1. Goodman, D.C. & Fisher, E. & Slukel, T.A. & Chang, C.-H., 1997. "The distance to community medical care and the likelihood of hospitalization: Is closer always better?," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1144-1150.
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    Cited by:

    1. Ted Pinchbeck, 2016. "Taking Care of the Budget? Practice-level Outcomes during Commissioning Reforms in England," SERC Discussion Papers 0192, Centre for Economic Performance, LSE.
    2. Fabbri, D & Robone, S, 2008. "The geography of hospital admission in a National Health Service with patient choice: evidence from Italy," Health, Econometrics and Data Group (HEDG) Working Papers 08/29, HEDG, c/o Department of Economics, University of York.
    3. Jayasree Basu & Bernard Friedman, 2007. "A re‐examination of distance as a proxy for severity of illness and the implications for differences in utilization by race/ethnicity," Health Economics, John Wiley & Sons, Ltd., vol. 16(7), pages 687-701, July.
    4. Baker, Matthew C. & Stratmann, Thomas, 2021. "Barriers to entry in the healthcare markets: Winners and Losers from certificate-of-need laws," Socio-Economic Planning Sciences, Elsevier, vol. 77(C).

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