Dynamic Spatial Treatment Effects as Continuous Functionals: Theory and Evidence from Healthcare Access

Kikuchi, Tatsuru (2025): Dynamic Spatial Treatment Effects as Continuous Functionals: Theory and Evidence from Healthcare Access.

Abstract

I develop a continuous functional framework for spatial treatment effects grounded in Navier-Stokes partial differential equations. Rather than discrete treatment parameters, the framework characterizes treatment intensity as continuous functions $\tau(\mathbf{x}, t)$ over space-time, enabling rigorous analysis of boundary evolution, spatial gradients, and cumulative exposure. Empirical validation using 32,520 U.S. ZIP codes demonstrates exponential spatial decay for healthcare access ($\kappa = 0.002837$ per km, $R^2 = 0.0129$) with detectable boundaries at 37.1 km. The framework successfully diagnoses when scope conditions hold: positive decay parameters validate diffusion assumptions near hospitals, while negative parameters correctly signal urban confounding effects. Heterogeneity analysis reveals 2-13 $\times$ stronger distance effects for elderly populations and substantial education gradients. Model selection strongly favors logarithmic decay over exponential ($\Delta \text{AIC} > 10,000$), representing a middle ground between exponential and power-law decay. Applications span environmental economics, banking, and healthcare policy. The continuous functional framework provides predictive capability ($d^*(t) = \xi^* \sqrt{t}$), parameter sensitivity ($\partial d^*/\partial \nu$), and diagnostic tests unavailable in traditional difference-in-differences approaches.

• Item Type: MPRA Paper
• Language: English
• Keywords: Spatial treatment effects, continuous functionals, Navier-Stokes equations, healthcare access, spatial boundaries, heterogeneous treatment effects
• Subjects: C - Mathematical and Quantitative Methods > C1 - Econometric and Statistical Methods and Methodology: General > C14 - Semiparametric and Nonparametric Methods: General; C - Mathematical and Quantitative Methods > C2 - Single Equation Models ; Single Variables > C21 - Cross-Sectional Models ; Spatial Models ; Treatment Effect Models ; Quantile Regressions; C - Mathematical and Quantitative Methods > C3 - Multiple or Simultaneous Equation Models ; Multiple Variables > C31 - Cross-Sectional Models ; Spatial Models ; Treatment Effect Models ; Quantile Regressions ; Social Interaction Models; I - Health, Education, and Welfare > I1 - Health > I14 - Health and Inequality; R - Urban, Rural, Regional, Real Estate, and Transportation Economics > R1 - General Regional Economics > R12 - Size and Spatial Distributions of Regional Economic Activity

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