HEALTHCARE ACCESSIBILITY SHORTFALLS AND HOSPITAL INFRASTRUCTURES IN CHILE

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 spec...

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Autor principal:	MAINARDI,STEFANO
Lenguaje:	English
Publicado:	ILADES. Universidad Alberto Hurtado. 2009
Materias:	Healthcare services and infrastructure stochastic frontier hurdle inequality
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-88702009000200002
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spelling	oai:scielo:S0718-887020090002000022011-08-29HEALTHCARE ACCESSIBILITY SHORTFALLS AND HOSPITAL INFRASTRUCTURES IN CHILEMAINARDI,STEFANO Healthcare services and infrastructure stochastic frontier hurdle inequality 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 to nearly 80% of the respective, commune-specific 'best practice' hospital distance estimates.info:eu-repo/semantics/openAccessILADES. Universidad Alberto Hurtado.Revista de análisis económico v.24 n.2 20092009-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-88702009000200002en10.4067/S0718-88702009000200002
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Healthcare services and infrastructure stochastic frontier hurdle inequality
spellingShingle	Healthcare services and infrastructure stochastic frontier hurdle inequality MAINARDI,STEFANO HEALTHCARE ACCESSIBILITY SHORTFALLS AND HOSPITAL INFRASTRUCTURES IN CHILE
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 to nearly 80% of the respective, commune-specific 'best practice' hospital distance estimates.
author	MAINARDI,STEFANO
author_facet	MAINARDI,STEFANO
author_sort	MAINARDI,STEFANO
title	HEALTHCARE ACCESSIBILITY SHORTFALLS AND HOSPITAL INFRASTRUCTURES IN CHILE
title_short	HEALTHCARE ACCESSIBILITY SHORTFALLS AND HOSPITAL INFRASTRUCTURES IN CHILE
title_full	HEALTHCARE ACCESSIBILITY SHORTFALLS AND HOSPITAL INFRASTRUCTURES IN CHILE
title_fullStr	HEALTHCARE ACCESSIBILITY SHORTFALLS AND HOSPITAL INFRASTRUCTURES IN CHILE
title_full_unstemmed	HEALTHCARE ACCESSIBILITY SHORTFALLS AND HOSPITAL INFRASTRUCTURES IN CHILE
title_sort	healthcare accessibility shortfalls and hospital infrastructures in chile
publisher	ILADES. Universidad Alberto Hurtado.
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-88702009000200002
work_keys_str_mv	AT mainardistefano healthcareaccessibilityshortfallsandhospitalinfrastructuresinchile
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HEALTHCARE ACCESSIBILITY SHORTFALLS AND HOSPITAL INFRASTRUCTURES IN CHILE

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