Does competition from ambulatory surgical centers affect hospital surgical output?

Abstract:

:This paper estimates the effect of ambulatory surgical centers (ASCs) on hospital surgical volume using hospital and year fixed effects models with several robustness checks. We show that ASC entry only appears to influence a hospital's outpatient surgical volume if the facilities are within a few miles of each other. Even then, the average reduction in hospital volume is only 2-4%, which is not nearly large enough to offset the new procedures performed by an entering ASC. The effect is, however, stronger for large ASCs and the first ASCs to enter a market. Additionally, we find no evidence that entering ASCs reduce a hospital's inpatient surgical volume.

journal_name

J Health Econ

authors

Courtemanche C,Plotzke M

doi

10.1016/j.jhealeco.2010.07.003

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

765-73

issue

5

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(10)00094-9

journal_volume

29

pub_type

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