NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

Area Differences in Utilization of Medical Care and Mortality Among U.S. Elderly

Victor R. Fuchs, Mark McClellan, Jonathan Skinner

NBER Working Paper No. 8628
Issued in December 2001
NBER Program(s):   AG   HC

This paper examines 313 U.S. areas for differences in medical care utilization and mortality of whites ages 65-84 in 1990. The variables included in the analysis are education, real income, cigarette sales, obesity, air pollution, percent black, and dummy variables for seven regions and five population size categories from MSAs over 500,000 to not in MSA. Utilization, especially inpatient care, is strongly positively related to mortality. Mortality is positively related to cigarette sales, obesity, air pollution and percent black. Utilization (especially outpatient) is significantly higher in MSAs with populations greater than 500,000. Mortality does not vary with population size, with or without controls. Florida is an outlier for both utilization (very high) and mortality (by far the lowest of any region). The puzzles of Floridian exceptionalism and the positive relation between white mortality and percent black are discussed but not resolved.

download in pdf format
   (814 K)

email paper

The NBER Bulletin on Aging and Health provides summaries of publications like this.  You can sign up to receive the NBER Bulletin on Aging and Health by email.

This paper is available as PDF (814 K) or via email.

Machine-readable bibliographic record - MARC, RIS, BibTeX

Document Object Identifier (DOI): 10.3386/w8628

Published: Area Differences in Utilization of Medical Care and Mortality among U.S. Elderly , Victor R. Fuchs, Mark B. McClellan, Jonathan S. Skinner. in Perspectives on the Economics of Aging, Wise. 2004

Users who downloaded this paper also downloaded these:
Skinner, Fisher, and Wennberg w8395 The Efficiency of Medicare
Skinner and Wennberg w6513 How Much is Enough? Efficiency and Medicare Spending in the Last Six Months of Life
Deaton w8318 Health, Inequality, and Economic Development
Chandra and Skinner w9513 Geography and Racial Health Disparities
Fuchs, McClellan, and Skinner Area Differences in Utilization of Medical Care and Mortality among U.S. Elderly
 
Publications
Activities
Meetings
NBER Videos
Data
People
About

Support
National Bureau of Economic Research, 1050 Massachusetts Ave., Cambridge, MA 02138; 617-868-3900; email: info@nber.org

Contact Us