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Impact of Specialization on Health Outcomes - Evidence from U.S. Cancer Data


Lichtenberg, Frank R; Schoder, Johannes (2010). Impact of Specialization on Health Outcomes - Evidence from U.S. Cancer Data. Working paper series / Socioeconomic Institute No. 1011, University of Zurich.

Abstract

There have been many studies of the volume-outcome relationship. In all of these, the unit of analysis is the hospital or physician. However, this level of analysis is mostly limited to the use of in-hospital mortality rates and is particularly sensitive to selective referral. Moreover, the literature on agglomeration economies highlights the importance of information spillovers within regions (Glaeser, 2010). To overcome these problems, our study is the ?rst that examines the volume-outcome relationship on a regional (county or cancer registry) level. Using data from the National Cancer Institute’s Surveillance, Epidemiology and End Results program we ?nd that regions with relatively more of the same cancer type exhibit relatively better health outcomes.

There have been many studies of the volume-outcome relationship. In all of these, the unit of analysis is the hospital or physician. However, this level of analysis is mostly limited to the use of in-hospital mortality rates and is particularly sensitive to selective referral. Moreover, the literature on agglomeration economies highlights the importance of information spillovers within regions (Glaeser, 2010). To overcome these problems, our study is the ?rst that examines the volume-outcome relationship on a regional (county or cancer registry) level. Using data from the National Cancer Institute’s Surveillance, Epidemiology and End Results program we ?nd that regions with relatively more of the same cancer type exhibit relatively better health outcomes.

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Additional indexing

Item Type:Working Paper
Communities & Collections:03 Faculty of Economics > Department of Economics
Working Paper Series > Socioeconomic Institute (former)
Dewey Decimal Classification:330 Economics
JEL Classification:I12
Language:English
Date:October 2010
Deposited On:29 Nov 2011 15:09
Last Modified:05 Apr 2016 15:09
Series Name:Working paper series / Socioeconomic Institute
Official URL:http://www.econ.uzh.ch/wp.html
Permanent URL: http://doi.org/10.5167/uzh-51793

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