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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w28018 |
来源ID | Working Paper 28018 |
Hospital Allocation and Racial Disparities in Health Care | |
Amitabh Chandra; Pragya Kakani; Adam Sacarny | |
发表日期 | 2020-11-02 |
出版年 | 2020 |
语种 | 英语 |
摘要 | We develop a simple framework to measure the role of hospital allocation in racial disparities in health care and use it to study Black and white Medicare patients who are treated for heart attacks – a condition where virtually everyone receives care, hospital care is highly effective, and hospital quality has been validated. We report four facts. (1) Black patients receive care at lower-performing hospitals than white patients, even when they live in the same hospital market or ZIP code within a hospital market. (2) Over the past two decades, the gap in performance between hospitals treating Black and white patients shrank by over two-thirds. (3) This progress is due to more rapid performance improvement at hospitals that tended to treat Black patients, rather than faster reallocation of Black patients to better hospitals. (4) Hospital performance improvement is correlated with adoption of a high-return low-cost input, beta-blockers. Closing remaining disparities in allocation and harnessing the forces of performance improvement, including technology diffusion, may be novel levers to further reduce disparities. |
主题 | Microeconomics ; Households and Firms ; Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w28018 |
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/585691 |
推荐引用方式 GB/T 7714 | Amitabh Chandra,Pragya Kakani,Adam Sacarny. Hospital Allocation and Racial Disparities in Health Care. 2020. |
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 | ||
w28018.pdf(654KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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