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来源类型Working Paper
规范类型报告
DOI10.3386/w28018
来源IDWorking 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
URLhttps://www.nber.org/papers/w28018
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/585691
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Amitabh Chandra,Pragya Kakani,Adam Sacarny. Hospital Allocation and Racial Disparities in Health Care. 2020.
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