title: Effects of Geographical Accessibility on the Use of Outpatient Care Services: Quasi-Experimental Evidence from Panel Count Data.
abstract: In 2010-2012, new outpatient service locations were established in Hungarian micro-regions, which had lacked such capacities before. We exploit this quasi-experiment to estimate the effect of geographical accessibility on outpatient case numbers using both individual-level and semi-aggregate panel data. We find a 24-27 per cent increase of case numbers as a result of the establishments. Our specialty-by-specialty estimates imply that a 1-min reduction of travel time to the nearest outpatient unit increases case numbers for example by 0.9 per cent in internal care and 3.1 per cent in rheumatology. The size of the new outpatient capacities has a separate effect, raising the possibility of the presence of supplier-induced demand. By combining a fixed-effects logit and a fixed-effects truncated Poisson estimator, we decompose the effects into increases in the probability of ever visiting a doctor on the one hand and an increase of the frequency of visits on the other hand. We find that new visits were dominant in the vast majority of specialties, whereas both margins were important for example in rheumatology. Finally, we demonstrate the usefulness of the fixed-effects truncated Poisson estimator in modelling count data by examining its robustness by simulations.
authors.affiliation: Department of Economics, Eötvös Loránd University (ELTE), Budapest, Hungary.
authors.forename: Péter
authors.initials: P
authors.lastname: Elek
authors.affiliation: Department of Economics, Eötvös Loránd University (ELTE), Budapest, Hungary.|Budapest Institute for Policy Analysis, Budapest, Hungary.
authors.forename: Balázs
authors.initials: B
authors.lastname: Váradi
authors.affiliation: Department of Economics and Political Science, INSEAD, Fontainebleau, France.
authors.forename: Márton
authors.initials: M
authors.lastname: Varga
mesh_terms: D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D006814:Hungary; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008511:Medicine / Q000706:statistics & numerical data; D008875:Middle Aged; D015233:Models, Statistical; D055815:Young Adult
keywords: fixed-effects truncated Poisson regression; hurdle models on count data; number of doctor visits; small area variation; supplier-induced demand