The Effect of Certificate of Need Laws on All-Cause Mortality.

Abstract:

OBJECTIVE:To test how Certificate of Need laws affect all-cause mortality in the United States. DATA SOURCES:The data of 1992-2011 all-cause mortality are from the Center for Disease Control's Compressed Mortality File; control variables are from the Current Population Survey, Behavioral Risk Factor Surveillance System, and Area Health Resources File; and data on Certificate of Need laws are from Stratmann and Russ (). STUDY DESIGN:Using fixed- and random-effects regressions, I test how the scope of state Certificate of Need laws affects all-cause mortality within US counties. PRINCIPAL FINDINGS:Certificate of Need laws have no statistically significant effect on all-cause mortality. Point estimates indicate that if they have any effect, they are more likely to increase mortality than decrease it. CONCLUSIONS:Proponents of Certificate of Need laws have claimed that they reduce mortality by concentrating more care into fewer, larger facilities that engage in learning-by-doing. However, I find no evidence that these laws reduce all-cause mortality.

journal_name

Health Serv Res

journal_title

Health services research

authors

Bailey J

doi

10.1111/1475-6773.12619

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

49-62

issue

1

eissn

0017-9124

issn

1475-6773

journal_volume

53

pub_type

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