Spatial dependence in patient migration flows

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,...

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Bibliographic Details
Published inSpatial economic analysis Vol. 18; no. 4; pp. 575 - 599
Main Author Piedra-Peña, Juan
Format Journal Article
LanguageEnglish
Published Glasgow Routledge 02.10.2023
Taylor & Francis Ltd
Subjects
Hospital efficiency
Hospitals
Migration
patient migration
spatial dependence
spillover effects
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Summary: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.
ISSN:1742-1772
1742-1780
DOI:10.1080/17421772.2023.2204122