全球智库信息集成服务系统(G2TT): The Effect of Soft Budget Constraints on Access and Quality in Hospital Care

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w14256
来源ID	Working Paper 14256
	The Effect of Soft Budget Constraints on Access and Quality in Hospital Care
	Yu-Chu Shen; Karen Eggleston
发表日期	2008-08-21
出版年	2008
语种	英语
摘要	Given an increasingly complex web of financial pressures on providers, studies have examined how the hospitals' overall financial health affect different aspects of hospital operation. In our study, we analyze this issue focusing on hospital access and quality by introducing an important aspect of the financial incentives, soft budget constraints (SBC), that takes into account both hospital's current and past financial health as well as their expected financial outlook (i.e., whether there is a sponsoring organization to bail them out). We develop a conceptual framework of SBC by considering the resultant incentives on cost control and quality improvement innovations; and examine the effect of SBC on the following aspects of access and quality: safety net service survival and AMI mortality rates. We find that hospitals with softer budget constraints are less likely to shut down safety net services. In addition, hospitals with softer budget constraints appear to have better mortality outcomes, suggesting that the reduced incentive to engage in cost control innovation as the result of SBC outweighs the dampening effect of quality improvement innovation.
主题	Health, Education, and Welfare ; Health
URL	https://www.nber.org/papers/w14256
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/571930
推荐引用方式 GB/T 7714	Yu-Chu Shen,Karen Eggleston. The Effect of Soft Budget Constraints on Access and Quality in Hospital Care. 2008.

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
w14256.pdf（461KB）	智库出版物		限制开放	CC BY-NC-SA	浏览