全球智库信息集成服务系统(G2TT): Estimating the Value Added of Attending Physicians on Patient Outcomes

G2TT

来源类型	Working Paper
规范类型	报告
DOI	10.3386/w20534
来源ID	Working Paper 20534
	Estimating the Value Added of Attending Physicians on Patient Outcomes
	Jason M. Fletcher; Leora I. Horwitz; Elizabeth Bradley
发表日期	2014-10-06
出版年	2014
语种	英语
摘要	Despite increasing calls for value-based payments, existing methodologies for determining physicians' "value added" to patient health outcomes have important limitations. We incorporate methods from the value added literature in education research into a health care setting to present the first value added estimates of health care providers in the literature. Like teacher value added measures that calculate student test score gains, we estimate physician value added based on changes in health status during the course of a hospitalization. We then tie our measures of physician value added to patient outcomes, including length of hospital stay, total charges, health status at discharge, and readmission. The estimated value added varied substantially across physicians and was highly stable for individual physicians. Patients of physicians in the 75th versus 25th percentile of value added had, on average, shorter length of stay (4.76 vs 5.08 days), lower total costs ($17,811 vs $19,822) and higher discharge health status (8% of a standard deviation). Our findings provide evidence to support a new method of determining physician value added in the context of inpatient care that could have wide applicability across health care setting and in estimating value added of other health care providers (nurses, staff, etc).
主题	Health, Education, and Welfare ; Health
URL	https://www.nber.org/papers/w20534
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/578208
推荐引用方式 GB/T 7714	Jason M. Fletcher,Leora I. Horwitz,Elizabeth Bradley. Estimating the Value Added of Attending Physicians on Patient Outcomes. 2014.