The Gift of a Lifetime: The Hospital, Modern Medicine, and Mortality
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.
Published Versions
Alex Hollingsworth & Krzysztof Karbownik & Melissa A. Thomasson & Anthony Wray, 2024. "The Gift of a Lifetime: The Hospital, Modern Medicine, and Mortality," American Economic Review, vol 114(7), pages 2201-2238. citation courtesy of