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Related Experiment Videos

Do physicians locate as spatial competition models predict? Evidence from Alberta

M C Brown1

  • 1Department of Economics, University of Calgary, AB.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|April 15, 1993
PubMed
Summary
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Physicians choose practice locations based on spatial competition, valuing urban patients more. Income subsidies for rural practice are costly; enhancing ambulance services may improve rural healthcare access.

Area of Science:

  • Health economics
  • Spatial analysis
  • Public health policy

Background:

  • Physician distribution is crucial for equitable healthcare access.
  • Rural areas often face shortages of medical practitioners.
  • Understanding practice location choices informs policy interventions.

Purpose of the Study:

  • To analyze physician location choices influenced by spatial competition.
  • To evaluate policy implications for addressing rural healthcare disparities.
  • To compare predicted physician distribution with actual 1990 data in Alberta.

Main Methods:

  • Spatial competition modeling to predict physician geographic distribution.
  • Comparison of model predictions against actual 1990 physician distribution data.

Related Experiment Videos

  • Analysis of patient demand weighting between urban and rural populations.

    • Main Results:

    • Physicians' practice location decisions are significantly influenced by spatial competition.
    • A patient demand weight of 2.32 rural patients equivalent to 1 urban patient was identified.
    • Income subsidies for rural practice are feasible but economically burdensome.

    Conclusions:

    • Physician distribution is a response to market forces and patient demand.
    • High costs of direct subsidies suggest alternative rural healthcare strategies.
    • Investing in robust ambulance networks is a more cost-effective policy for rural health improvement.