We further find that, excluding the largest counties, patients with very severe and very mild indications were most likely to go to hospitals with high levels of technology. The result for less severe patients could be due to the use of ambulances for cases which are more elective in nature, since patients may be reporting emergencies in order to have access to the ambulances for basic transportation. Patient insurance status further affects the hospital allocation decision. We find that privately insured patients are allocated in a similar fashion to Medicare patients. However, Medicaid and self-pay patients are more likely to be treated in high-tech hospitals.
This result, which is somewhat puzzling, may be due to fact that hospitals are often located in poor areas; further, this result may be spurious, as almost all patients are insured either privately or through Medicare.
Table 11 also shows that the probability of being admitted to a hospital with a cardiac catheterization laboratory is decreasing in the number of hospitals per square mile. We interpret this result as a consequence of the allocation protocols: patients are generally taken to the closest hospital which meets general criteria, and areas with more hospitals per square mile may have a number of hospitals with low levels of technology. In contrast, many counties have only two or three hospitals, one of which has a cardiac catheterization laboratory.img class=”size-full wp-image-657 aligncenter” alt=”emergency-response-pic_500x375″ src=”http://advices-on-finance-online.com/wp-content/uploads/2014/04/emergency-response-pic_500x375.jpg” width=”500″ height=”375″ /