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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w10489 |
来源ID | Working Paper 10489 |
The Role of Information in Medical Markets: An Analysis of Publicly Reported Outcomes in Cardiac Surgery | |
David M. Cutler; Robert S. Huckman; Mary Beth Landrum | |
发表日期 | 2004-05-17 |
出版年 | 2004 |
语种 | 英语 |
摘要 | During the past two decades, several public and private organizations have initiated programs to report publicly on the quality of medical care provided by specific hospitals and physicians. These programs have sparked broad debate among economists and policy makers concerning whether, and to what extent, they have improved or harmed medical productivity. We take advantage of a cross-sectional time series of different hospitals to address two fundamental questions about quality reporting. First, we examine whether report cards affect the distribution of patients across hospitals. Second, we determine whether report cards lead to improved medical quality among hospitals identified as particularly bad or good performers. Our data are from the longest-standing effort to measure and report health care quality the Cardiac Surgery Reporting System (CSRS) in New York State. Using data for 1991 through 1999, we find that CSRS affected both the volume of cases and future quality at hospitals identified as poor performers. Poor performing hospitals lost relatively healthy patients to competing facilities and experienced subsequent improvements in their performance as measured by risk-adjusted mortality. |
主题 | Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w10489 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/568118 |
推荐引用方式 GB/T 7714 | David M. Cutler,Robert S. Huckman,Mary Beth Landrum. The Role of Information in Medical Markets: An Analysis of Publicly Reported Outcomes in Cardiac Surgery. 2004. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w10489.pdf(155KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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