The Gift of a Lifetime: The Hospital , Modern Medicine , and Mortality

• 成果类型: Article
• 署名作者: Hollingsworth, Alex; Karbownik, Krzysztof; Thomasson, Melissa A.; Wray, Anthony
• 署名单位: University System of Ohio; Ohio State University; University System of Ohio; Ohio State University; University System of Ohio; Ohio State University; National Bureau of Economic Research; Emory University; University System of Ohio; Miami University; University of Southern Denmark
• 刊物名称: AMERICAN ECONOMIC REVIEW
• ISSN/ISSBN: 0002-8282
• DOI: 10.1257/aer.20230008
• 发表日期: 2024
• 页码: 2201-2238
• 关键词: HEALTH EVIDENCE; saving babies; UNITED-STATES; IMPACT; PROGRAMS; decline; HOME

摘要

We explore how access to modern hospitals and medicine affects mortality by leveraging efforts of the Duke Endowment to modernize hospitals in the early twentieth century. The Endowment helped communities build and expand hospitals , obtain state-of-the-art medical technology , attract qualified medical personnel , and refine management practices. We find that Duke support increased the size and quality of the medical sector , fostering growth in not-for-profit hospitals and high-quality physicians. Duke funding reduced both infant mortality-with larger effects for Black infants than White infants-and long-run mortality. Finally , we find that communities aided by Duke benefited more from medical innovations. ( JEL I11, I12, J13, J15, L31, N32, O31 )