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来源类型Working Paper
规范类型报告
DOI10.3386/w8697
来源IDWorking Paper 8697
Is More Information Better? The Effects of 'Report Cards' on Health Care Providers
David Dranove; Daniel Kessler; Mark McClellan; Mark Satterthwaite
发表日期2002-01-09
出版年2002
语种英语
摘要Health care report cards - public disclosure of patient health outcomes at the level of the individual physician and/or hospital - may address important informational asymmetries in markets for health care, but they may also give doctors and hospitals incentives to decline to treat more difficult, severely ill patients. Whether report cards are good for patients and for society depends on whether their financial and health benefits outweigh their costs in terms of the quantity, quality, and appropriateness of medical treatment that they induce. Using national data on Medicare patients at risk for cardiac surgery, we find that cardiac surgery report cards in New York and Pennsylvania led both to selection behavior by providers and to improved matching of patients with hospitals. On net, this led to higher levels of resource use and to worse health outcomes, particularly for sicker patients. We conclude that, at least in the short run, these report cards decreased patient and social welfare.
主题Health, Education, and Welfare ; Health ; Industrial Organization ; Regulatory Economics
URLhttps://www.nber.org/papers/w8697
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/566304
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David Dranove,Daniel Kessler,Mark McClellan,et al. Is More Information Better? The Effects of 'Report Cards' on Health Care Providers. 2002.
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