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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w24035 |
来源ID | Working Paper 24035 |
Identifying Sources of Inefficiency in Health Care | |
Amitabh Chandra; Douglas O. Staiger | |
发表日期 | 2017-11-20 |
出版年 | 2017 |
语种 | 英语 |
摘要 | In medicine, the reasons for variation in treatment rates across hospitals serving similar patients are not well understood. Some interpret this variation as unwarranted, and push standardization of care as a way of reducing allocative inefficiency. An alternative interpretation is that hospitals with greater expertise in a treatment use it more because of their comparative advantage, suggesting that standardization is misguided. A simple economic model provides an empirical framework to separate these explanations. Estimating this model with data for heart attack patients, we find evidence of substantial variation across hospitals in both allocative inefficiency and comparative advantage, with most hospitals overusing treatment in part because of incorrect beliefs about their comparative advantage. A stylized welfare-calculation suggests that eliminating allocative inefficiency would increase the total benefits from the treatment that we study by 44%. |
主题 | Health, Education, and Welfare ; Health ; Poverty and Wellbeing |
URL | https://www.nber.org/papers/w24035 |
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/581709 |
推荐引用方式 GB/T 7714 | Amitabh Chandra,Douglas O. Staiger. Identifying Sources of Inefficiency in Health Care. 2017. |
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 | ||
w24035.pdf(1238KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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