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008 950101e cr |||||r|||| 00| | eng d
020 _a2-84039-005-1
040 _cCR-SiIICA
041 _aeng
090 _aIICA-E50 716
100 _951787
_aBughin, J.
110 _93161
_aAssociation d' Econométrie Appliquée, Lyon (Francia)
110 _914446
_aMinisterio de Trabajo, San José (Costa Rica)
110 _915525
_aOPS, San José (Costa Rica)
110 _aUniversidad de Costa Rica, San José (Costa Rica)
_919288
110 _aIICA, San José (Costa Rica)
_914
111 _a35. Conference Internationale Econométrie de la Protection Sociale
_cSan José (Costa Rica)
_d22-24 Abr 1992
245 _aAn analysis of the symptom of supplier-induced demand effect in the hospital sector: switching regime estimates for Belgium
245 _aActes
246 _aProceedings
260 _aLyon (France)
_bBosc Frères
_c1992
270 _aCIDIA, San José (Costa Rica)
300 _ap. 45-82
520 _aThis paper provides evidence of the symptom of the so-called 'supplier-induced demand effect' on the average length of stay of inpatients in the Belgian hospital sector. Using an endogenous regime switching model, the estimates are consistent with the idea that hospitals in excess-capacity increase the length of stay of their inpatients, above what should have been if one considers only the 'patients' casemix of the hospitals. The model also includes the possibility of spatial spillovers which should appear as a consequence of these disequilibrium regimes: those spillovers not only provide a better explanation of the patients dispersion among hospitals, they also tend to decrease the 'supplier-induced demand' effect on length of stay by reducing the original extent of the excess-supply situation. Further, consistent with the model, it is found that hospital sectors in predominant excess-demand (resp., excess-supply) are generally those where the net emigration balance is positive, (resp., negative)
690 _9159470
_aPOLITICA DE SALUD
690 _9137846
_aBIENESTAR SOCIAL
690 _9164204
_aSEGURIDAD SOCIAL
690 _9163663
_aSALUD PUBLICA
690 _9155132
_aMODELOS ECONOMETRICOS
690 _9137688
_aBELGICA
901 _aE50
_b22319
902 _aE10
903 _aKV
904 _aIICA
905 _aC
906 _a19950101
907 _aCIDIA, San José (Costa Rica)
908 _aB
909 _aAM
914 _aIICA
914 _aBV
914 _aEXTRA
942 _cANA
942 _cIMP
999 _c13640
_d13640