全球智库信息集成服务系统(G2TT): Should Hospitals Keep Their Patients Longer? The Role of Inpatient Care in Reducing Post-Discharge Mortality

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w20499
来源ID	Working Paper 20499
	Should Hospitals Keep Their Patients Longer? The Role of Inpatient Care in Reducing Post-Discharge Mortality
	Ann P. Bartel; Carri W. Chan; Song-Hee (Hailey) Kim
发表日期	2014-09-18
出版年	2014
语种	英语
摘要	The Centers for Medicare & Medicaid Services (CMS) and the National Quality Forum have endorsed 30-day mortality rates as important indicators of hospital quality. Concerns have been raised, however, as to whether post-discharge mortality rates are reasonable measures of hospital quality as they consider the frequency of an event that occurs after a patient is discharged and no longer under the watch and care of the hospital. Using a large dataset comprised of all hospital encounters of every Medicare patient from 2000 to 2011 and an instrumental variables methodology to address the potential endogeneity bias in hospital length-of-stay, we find evidence that 30-day mortality rates are appropriate measures of hospital quality. For patients with diagnoses of Pneumonia or Acute Myocardial Infarction, an additional day in the hospital could decrease 30-day mortality rates by up to 12.8%. Moreover, we find that, from a social planner's perspective, the gains achieved in reducing mortality rates far exceed the cost of keeping these patients in the hospital for an additional day.
主题	Health, Education, and Welfare ; Health ; Industrial Organization ; Nonprofits
URL	https://www.nber.org/papers/w20499
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/578171
推荐引用方式 GB/T 7714	Ann P. Bartel,Carri W. Chan,Song-Hee . Should Hospitals Keep Their Patients Longer? The Role of Inpatient Care in Reducing Post-Discharge Mortality. 2014.