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http://hdl.handle.net/10071/11369
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Title: A spatial analysis of mental health care in Texas
Other Titles: Un análisis espacial de la salud mental en Texas
Une analyse spatiale des soins de santé mentale au Texas
Authors: de Mello-Sampayo, F.
Keywords: Gravity model
Patients' mobility
State mental hospital
Poisson estimation
Issue Date: 2016
Publisher: Routledge/Taylor and Francis
Abstract: This paper discusses competing-destinations formulation of the gravity model for the flows of patients from their residential areas to health supplier regions. This approach explicitly acknowledges the interdependence of the patient between a set of alternative health supplier regions. This competing-destinations based approach may be implemented as a probabilistic demand function or conditional logit model, with a Poisson outcome. A Texas based case study of residential areas and State Mental Hospitals (SMHs) is presented. The results of the estimation do not lend support to the presence of scale effects in SMHs due to the size of population. This result, combined with the negative effect of average length of stay and with the positive effect of the provision of forensic services on patient flows, highlights the problem of caseload growth in SMHs.
Peer reviewed: yes
URI: http://hdl.handle.net/10071/11369
DOI: 10.1080/17421772.2016.1102959
ISSN: 1742-1772
Ciência-IUL: https://ciencia.iscte-iul.pt/id/ci-pub-24670
Accession number: WOS:000380240500003
Appears in Collections:BRU-RI - Artigos em revistas científicas internacionais com arbitragem científica

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