G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w24035
来源IDWorking 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
URLhttps://www.nber.org/papers/w24035
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/581709
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Amitabh Chandra,Douglas O. Staiger. Identifying Sources of Inefficiency in Health Care. 2017.
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