| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w11226 |
| 来源ID | Working Paper 11226 |
| The Effects of Competition on Variation in the Quality and Cost of Medical Care | |
| Daniel P. Kessler; Jeffrey J. Geppert | |
| 发表日期 | 2005-03-28 |
| 出版年 | 2005 |
| 语种 | 英语 |
| 摘要 | We estimate the effects of hospital competition on the level of and the variation in quality of care and hospital expenditures for elderly Medicare beneficiaries with heart attack. We compare competition's effects on more-severely ill patients, whom we assume value quality more highly, to the effects on less-severely ill, low-valuation patients. We find that low-valuation patients in less-competitive markets receive more intensive treatment than in more-competitive markets, but have statistically similar health outcomes. In contrast, high-valuation patients in less-competitive markets receive less intensive treatment than in more-competitive markets, and have significantly worse health outcomes. Since this competition-induced increase in variation in expenditures is, on net, expenditure-decreasing and outcome-beneficial, we conclude that it is welfare-enhancing. These findings are inconsistent with conventional models of vertical differentiation, although they can be accommodated by more recent models. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w11226 |
| 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/568863 |
| 推荐引用方式 GB/T 7714 | Daniel P. Kessler,Jeffrey J. Geppert. The Effects of Competition on Variation in the Quality and Cost of Medical Care. 2005. |
| 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 | ||
| w11226.pdf（114KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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