Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/235368 
Year of Publication: 
2021
Series/Report no.: 
CESifo Working Paper No. 8998
Publisher: 
Center for Economic Studies and Ifo Institute (CESifo), Munich
Abstract: 
This paper estimates a theory-guided gravity equation of regional patient flows. In our model, a patient’s choice to consult a physician in a particular region depends on a measure of spatial accessibility that accounts for the exact locations of both patients and physicians. Introducing this concept in a spatial economics model, we derive an augmented gravity-type equation and show that our measure of accessibility performs better in explaining patient flows than bilateral distance. We conduct a rich set of counterfactual simulations, illustrating that the effects of physicians’ market exits on patient mobility crucially depend on their exact locations.
Subjects: 
gravity model
patient mobility
spatial accessibility
two-step floating catchment areas (2SFCA)
JEL: 
R10
R12
R23
I11
I18
Document Type: 
Working Paper
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