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Healthcare Accessibility Shortfalls and Hospital Infrastructures in Chile

Economic Analysis Review

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Title Healthcare Accessibility Shortfalls and Hospital Infrastructures in Chile

 
Creator Mainardi, Stefano
 
Description To measure healthcare accessibility, a previous study formulated a stochastic cost frontier model, and applied it to distances of communal centres from nearest emergency hospitals in Chile. Based on a larger set of variables, this study re-estimates the distance threshold, and tests alternative specifications and distribution assumptions over the period 2000-05. Complementing the analysis, ordered probit regressions help examine the cross-commune allocation of hospitals with varying complexity of medical services. Thirdly, excess distance estimates are used with other covariates in tobit models of health sector infrastructure investments. Socio-economic, demographic and geophysical conditions, along with non-hospital healthcare facilities, explain spatial inequality of hospitals. Excess distances are robust to different model specifications and distribution assumptions, and do not appear to be compensated by standards of services of the nearest hospitals or new healthcare infrastructure and upgrading investments in support to the communes concerned. Communes with perceived inadequacy in timing of medical attention turn out to often register large location inefficiency too. For the most critical communal cases, the excess distance burden amounts.

 
Publisher Universidad Alberto Hurtado - Facultad de Economía y Negocios
 
Contributor

 
Date 2010-03-05
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion


 
Format application/pdf
 
Identifier http://www.rae-ear.org/index.php/rae/article/view/91
 
Source Revista de Análisis Económico - Economic Analysis Review; Vol 24, No 2 (2009); 35-63
Revista de Análisis Económico – Economic Analysis Review; Vol 24, No 2 (2009); 35-63
0718-8870
0716-5927
 
Language eng
 
Relation http://www.rae-ear.org/index.php/rae/article/view/91/175