| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w24497 |
| 来源ID | Working Paper 24497 |
| Adoption and Learning Across Hospitals: The Case of a Revenue-Generating Practice | |
| Adam Sacarny | |
| 发表日期 | 2018-04-09 |
| 出版年 | 2018 |
| 语种 | 英语 |
| 摘要 | Performance-raising practices tend to diffuse slowly in the health care sector. To understand how incentives drive adoption, I study a practice that generates revenue for hospitals: submitting detailed documentation about patients. After a 2008 reform, hospitals could raise their Medicare revenue over 2% by always specifying a patient’s type of heart failure. Hospitals only captured around half of this revenue, indicating that large frictions impeded takeup. Exploiting the fact that many doctors practice at multiple hospitals, I find that four-fifths of the dispersion in adoption reflects differences in the ability of hospitals to extract documentation from physicians. Hospital adoption is robustly correlated with generating survival for heart attack patients and using inexpensive survival-raising standards of care. Hospital-physician integration and electronic medical records also influence adoption. These findings highlight the potential for institution-level frictions, including agency conflicts, to explain variations in health care performance across providers. |
| 主题 | Microeconomics ; Households and Firms ; Health, Education, and Welfare ; Health ; Industrial Organization ; Firm Behavior ; Development and Growth ; Innovation and R& ; D |
| URL | https://www.nber.org/papers/w24497 |
| 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/582171 |
| 推荐引用方式 GB/T 7714 | Adam Sacarny. Adoption and Learning Across Hospitals: The Case of a Revenue-Generating Practice. 2018. |
| 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 | ||
| w24497.pdf（431KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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