Rural healthcare access and supply constraints: A causal analysis

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-12 DOI:10.1002/soej.12686

Vitor Melo, Liam Sigaud, Elijah Neilson, Markus Bjoerkheim

引用次数: 0

Abstract

Certificate‐of‐Need (CON) laws require that healthcare providers receive approval from a state board before offering additional services in a given community. Proponents of CON laws claim that these laws are needed to prevent the oversupply of healthcare services in urban areas and to increase access in rural areas, which are predominantly underserved. Yet, the policy could lower rural access if used by incumbents to limit entry from competitors. We explore the repeal of these regulations in five U.S. states to offer the first estimate of the causal effects of CON laws on rural and urban healthcare access. We find that repealing CON laws causes a substantial increase in hospitals in both rural and urban areas. We also find that the repeal leads to fewer beds and smaller hospitals on average, suggesting an increase in entry and competition in both rural and urban areas.

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农村医疗服务的获取和供应限制：因果分析

需求证明（CON）法要求医疗服务提供者在特定社区提供额外服务前必须获得州委员会的批准。需求证明法的支持者声称，需要通过这些法律来防止城市地区医疗服务供过于求，并增加农村地区的就医机会，因为农村地区的医疗服务主要不足。然而，如果在位者利用该政策来限制竞争者的进入，则可能会降低农村地区的医疗服务可及性。我们探讨了美国五个州废除这些法规的情况，首次估算了 CON 法律对农村和城市医疗服务获取的因果效应。我们发现，废除 CON 法会导致农村和城市地区的医院数量大幅增加。我们还发现，废除该法会导致床位减少，医院规模平均变小，这表明农村和城市地区的医院进入和竞争都会增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.