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 Econjournal_title
Journal of health economicsauthors
Courtemanche C,Plotzke Mdoi
10.1016/j.jhealeco.2010.07.003subject
Has Abstractpub_date
2010-09-01 00:00:00pages
765-73issue
5eissn
0167-6296issn
1879-1646pii
S0167-6296(10)00094-9journal_volume
29pub_type
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