Publication Type

Master Thesis

Version

publishedVersion

Publication Date

7-2024

Abstract

Advancements in engineering and transportation technology have integrated commuting into modern living. Most studies on transportation infrastructure, such as roads and railways, focus on economic outcomes. This paper examines an overlooked outcome of transportation connectivity: access to medical care. We study the role transportation networks play in determining patients’ treatment location choices. Specifically, we aim to study 1) why patients travel to begin with, 2) how do patients choose where to go for treatment, and 3) how travel times can affect patients’ travel decisions. To do so, we develop a dynamic discrete choice, spatial model and provide empirical estimates. We find that, firstly, tertiary hospitals are associated with improved outcomes in the form of reduced 30-day in-hospital mortality and readmission rates. Secondly, we estimate a gravity equation via OLS and IV and find that the distance elasticity of healthcare seeking is considerably large at -2.3.

Keywords

transportation, urban, health, healthcare seeking, health outcomes, medical travel

Degree Awarded

Master of Philosophy in Econ

Discipline

Growth and Development | Transportation

Supervisor(s)

LI, Jing

First Page

1

Last Page

52

Publisher

Singapore Management University

City or Country

Singapore

Copyright Owner and License

Author

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