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소장정보 검색

국회도서관 홈으로 정보검색 소장정보 검색
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Title page

Contents

Abstract 3

1. Introduction 4

2. Background 8

2.1. Federal funding for graduate medical education 8

2.2. Section 5503 resident cap redistribution 9

2.3. The Match 14

3. Data 15

3.1. Hospital cost reports 15

3.2. Area Health Resource File 18

3.3. National Residency Matching Program reports 18

4. Estimation and identification 21

5. Results 25

5.1. Resident utilization 25

5.2. Residency program size 27

5.3. Primary care physician supply 28

6. Perfect conversion counterfactual 30

7. Conclusion 32

References 34

Appendix A. Figures 39

Appendix B. Tables 45

Tables

Table 1. Summary statistics and exogeneity of instrument for hospital analysis data 17

Table 2. Summary statistics and exogeneity of instrument for county analysis data 19

Table 3. Summary statistics for program analysis data 20

Table 4. Computation of cumulative effect of Section 5503 on PCP supply per 100 beds under perfect conversion using estimates from Figure 7 31

Figures

Figure 1. Trend in average physician supply in rural and urban counties 4

Figure 2. Divergence between resident counts and caps 9

Figure 3. Illustration of Section 5503 eligibility and allocation criteria 11

Figure 4. Trend in resident caps for hospitals by treatment status 13

Figure 5. Match rates across specialties 14

Figure 6. Mean quota and number matched for programs stratified by eligibility for a cap increase under Section 5503 21

Figure 7. Estimation results for the effect of Section 5503 on teaching hospital residents per 100 beds 26

Figure 8. Estimation results for the effect of Section 5503 on program Match outcomes 28

Figure 9. Estimation results for the percent effect of Section 5503 on county primary care physician counts 29

Appendix Tables

Table B1. Summary of first stage estimates 46

Appendix Figures

Figure A1. Trend in resident hourly real wage for hospitals that received cap increases and control hospitals 39

Figure A2. Trend in distribution of hourly real wages 40

Figure A3. Estimation results for the effect of a one slot increase in resident cap from Section 5503 on hospital residents per 100 beds 41

Figure A4. Estimation results for the effect of a one percent increase in residency subsidies from Section 5503 on hospital residents per 100 beds 42

Figure A5. Estimation results for the effect of Section 5503 on other hospital employment per 100 beds 43

Figure A6. Estimation results for the percent effect of a one slot increase in the cumulative resident cap on county primary care physician counts 44

Figure A7. Estimation results for the percent effect of a one percent increase in residency subsidies from Section 5503 on county primary care physician counts 45

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