{"title":"Spatial dependence in patient migration flows","authors":"Juan Piedra-Peña","doi":"10.1080/17421772.2023.2204122","DOIUrl":null,"url":null,"abstract":"ABSTRACT This study analyses whether higher efficiency performance of Ecuadorian hospitals attracts larger inflows of interregional patients to a given hospital and assesses the existence of spatial dependence in the patient migration network. We develop an innovative two-stage approach. In the first stage, we use conditional order-m estimations to obtain robust hospital efficiency. In the second stage, we apply a spatial Durbin interaction model to estimate the effect of hospital efficiency on patient migration flows and disentangle the spillover effects. We identify the positive effect of specialized hospitals’ efficiency in attracting patients from other regions alongside spillover effects in the migration dyad.","PeriodicalId":47008,"journal":{"name":"Spatial Economic Analysis","volume":"18 1","pages":"575 - 599"},"PeriodicalIF":1.5000,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spatial Economic Analysis","FirstCategoryId":"96","ListUrlMain":"https://doi.org/10.1080/17421772.2023.2204122","RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ECONOMICS","Score":null,"Total":0}
引用次数: 1
Abstract
ABSTRACT This study analyses whether higher efficiency performance of Ecuadorian hospitals attracts larger inflows of interregional patients to a given hospital and assesses the existence of spatial dependence in the patient migration network. We develop an innovative two-stage approach. In the first stage, we use conditional order-m estimations to obtain robust hospital efficiency. In the second stage, we apply a spatial Durbin interaction model to estimate the effect of hospital efficiency on patient migration flows and disentangle the spillover effects. We identify the positive effect of specialized hospitals’ efficiency in attracting patients from other regions alongside spillover effects in the migration dyad.
期刊介绍：
Spatial Economic Analysis is a pioneering economics journal dedicated to the development of theory and methods in spatial economics, published by two of the world"s leading learned societies in the analysis of spatial economics, the Regional Studies Association and the British and Irish Section of the Regional Science Association International. A spatial perspective has become increasingly relevant to our understanding of economic phenomena, both on the global scale and at the scale of cities and regions. The growth in international trade, the opening up of emerging markets, the restructuring of the world economy along regional lines, and overall strategic and political significance of globalization, have re-emphasised the importance of geographical analysis.
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