| 摘要(英) |
This paper analyses the effects of specialist regional distribution on the prognosis of liver cancer patients in Taiwan in 2001-2010. The specialists include surgeon and physicians of internal medicine, family medicine, diagnostic radiology, and radiation oncology. The prognosis, in this study, is measured by patients’ 6-month, 1-year, 18-month and 2-year mortality after they are diagnosed as liver cancer patients. Based on the 2001-2010 National Health Insurance Database, we conduct an empirical research analyzing the association of Gini coefficient of specialist regional distribution and patients’ prognosis via linear probability model, linear probability model with fixed effects and survival analysis. Our empirical results show that the inequality in specialist regional distribution has a negative effect on the mortality of liver cancer patients. The higher geographic concentration of medical specialists may deter patients living in rural or remote areas to access medical care, but it also may generate the economies of scale and scope in terms of improving the quality of treatment and the efficiency of care delivery. The advantages coming from specialist concentration override its negative effect on medical care accessibility and benefits patients.
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| 參考文獻 |
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