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Title: The Effect of Certificate of Need Laws on All-Cause Mortality

Citation Type: Journal Article

Publication Year: 2018

ISSN: 00179124

DOI: 10.1111/1475-6773.12619

Abstract: Objective. To test how Certificate of Need laws affect all-cause mortality in the United States. Data Sources. The data of 1992-2011 all-cause mortality are from the Center for Disease Control's Compressed Mortality File; control variables are from the Current Population Survey, Behavioral Risk Factor Surveillance System, and Area Health Resources File; and data on Certificate of Need laws are from Stratmann and Russ (2014). Study design. Using fixed-and random-effects regressions, I test how the scope of state Certificate of Need laws affects all-cause mortality within US counties. Principal Findings. Certificate of Need laws have no statistically significant effect on all-cause mortality. Point estimates indicate that if they have any effect, they are more likely to increase mortality than decrease it. Conclusions. Proponents of Certificate of Need laws have claimed that they reduce mortality by concentrating more care into fewer, larger facilities that engage in learning by doing. However, I find no evidence that these laws reduce all-cause mortality.

Url: https://mhcc.maryland.gov/mhcc/pages/home/workgroups/documents/CON_modernization_workgroup/Articles/Article 16.pdf

Url: http://doi.wiley.com/10.1111/1475-6773.12619

User Submitted?: No

Authors: Bailey, James

Periodical (Full): Health Services Research

Issue: 1

Volume: 53

Pages: 49-62

Data Collections: IPUMS CPS

Topics: Fertility and Mortality

Countries: United States

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