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医院关闭的经济后果

Economic consequences of hospital closures
Journal of Public Economics · 2023 · Diane Alexander、Michael R. Richards

中文摘要

医院构成美国医疗体系的重要支柱,并获得全部医疗支出的三分之一,其中包括各种补贴。尽管如此,一些医院仍会陷入资不抵债状态并退出市场。已有研究记录了此后出现的就医可及性问题;然而,人们对其更广泛影响的了解仍然有限。我们考察了2005—2017年间100多起农村医院关闭事件,以量化其对当地经济的影响。我们发现,就业出现急剧且持续的下降,但这种下降局限于医疗保健职业,而且在医院完全关闭的地区影响更大。农村医院关闭似乎并未影响消费者总体财务健康状况和住房市场。

Abstract

Hospitals anchor much of US health care and receive a third of all medical spending, including various subsidies. Nevertheless, some become insolvent and exit the market. Research has documented subsequent access problems; however, less is understood about broader implications. We examine over 100 rural hospital closures spanning 2005–2017 to quantify the effects on the local economy. We find sharp and persistent reductions in employment, but these localize to health care occupations and are more impactful in areas experiencing complete closures. Aggregate consumer financial health and housing markets appear unaffected by the shuttering of a rural hospital.
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