Name File Type Size Last Modified
CA_do_files.zip application/zip 14 KB 10/12/2019 10:24:PM
NY_do_files.zip application/zip 18.5 KB 10/12/2019 10:24:PM
Readme.pdf application/pdf 26.1 KB 10/12/2019 10:24:PM
ny_icr_data.zip application/zip 117.3 MB 10/12/2019 10:24:PM

Project Description

Summary:  View help for Summary Because geographic variation in medical care utilization is jointly determined by both supply and demand, it is difficult to empirically estimate whether capacity itself has a causal impact on utilization in health care. In this paper, I exploit short-term variation in Neonatal Intensive Care Unit (NICU) capacity that is unlikely to be correlated with unobserved demand determinants. I find that available NICU beds have little to no effect on NICU utilization for the sickest infants, but do increase utilization for those in the range of birth weights where admission decisions are likely to be more discretionary. (JEL I11, I12, I18, J13)

Scope of Project

Subject Terms:  View help for Subject Terms [health care utilization, infant health, intensive care]
JEL Classification:  View help for JEL Classification
      I11 Analysis of Health Care Markets
      I12 Health Behavior
      I18 Health: Government Policy; Regulation; Public Health
      J13 Fertility; Family Planning; Child Care; Children; Youth
Geographic Coverage:  View help for Geographic Coverage United States, California, United States, New York
Universe:  View help for Universe Infants born in New York and California
Data Type(s):  View help for Data Type(s) [administrative records data, medical records, observational data]

Methodology

Data Source:  View help for Data Source California Office of Statewide Health Planning and Development's (OSHPD) Linked Patient Discharge Data/Birth Cohort File and New York State Department of Health Statewide Planning and Research Cooperative System (SPARCS) inpatient discharge data
Unit(s) of Observation:  View help for Unit(s) of Observation Patient,

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