Evaluating Measures of Hospital Quality:Evidence from Ambulance Referral Patterns.
Journal
The review of economics and statistics
ISSN: 0034-6535
Titre abrégé: Rev Econ Stat
Pays: United States
ID NLM: 9877925
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
entrez:
1
7
2020
pubmed:
1
7
2020
medline:
1
7
2020
Statut:
ppublish
Résumé
Hospital quality measures are crucial to a key idea behind health care payment reforms: "paying for quality" instead of quantity. Nevertheless, such measures face major criticisms largely over the potential failure of risk adjustment to overcome endogeneity concerns when ranking hospitals. In this paper we test whether patients treated at hospitals that score higher on commonly-used quality measures have better health outcomes in terms of rehospitalization and mortality. To compare similar patients across hospitals in the same market, we exploit ambulance company preferences as an instrument for hospital choice. We find that a variety of measures used by insurers to measure provider quality are successful: choosing a high-quality hospital compared to a low-quality hospital results in 10-15% better outcomes.
Identifiants
pubmed: 32601511
doi: 10.1162/rest_a_00804
pmc: PMC7323928
mid: NIHMS993785
doi:
Types de publication
Journal Article
Langues
eng
Pagination
841-852Subventions
Organisme : NIA NIH HHS
ID : R01 AG041794
Pays : United States
Références
Ann Intern Med. 2003 Feb 18;138(4):288-98
pubmed: 12585826
Ann Intern Med. 2002 Sep 17;137(6):511-20
pubmed: 12230353
Ann Thorac Surg. 2003 Mar;75(3):1048-58
pubmed: 12645752
Ann Intern Med. 2003 Feb 18;138(4):273-87
pubmed: 12585825
Health Aff (Millwood). 2016 May 1;35(5):898-906
pubmed: 27140997
Surgery. 2002 Jan;131(1):16-8
pubmed: 11812958
N Engl J Med. 2009 Feb 26;360(9):849-52
pubmed: 19246356
Circulation. 2008 Apr 15;117(15):1955-63
pubmed: 18391106
N Engl J Med. 2003 Jun 26;348(26):2635-45
pubmed: 12826639
JAMA. 2000 Mar 1;283(9):1159-66
pubmed: 10703778
J Polit Econ. 2015 Feb 1;123(1):170-214
pubmed: 25750459
Med Care. 1987 Jun;25(6):489-503
pubmed: 3695658
Health Aff (Millwood). 2009 Jul-Aug;28(4):w566-72
pubmed: 19460774
N Engl J Med. 2017 Feb 16;376(7):608-610
pubmed: 28199802
Am Econ Rev. ;95(5):1525-47
pubmed: 29125726
Natl Bur Econ Res Bull Aging Health. 2011;(2):1-2
pubmed: 21957511
Health Serv Res. 1987 Jun;22(2):157-82
pubmed: 3112042
Health Serv Res. 2014 Oct;49(5):1659-69
pubmed: 24713085
BMJ. 2010 Apr 20;340:c2016
pubmed: 20406861
J Polit Econ. 2007;115:103-140
pubmed: 18418468
BMJ Qual Saf. 2012 Apr;21(4):325-36
pubmed: 22389022
JEMS. 2012 Feb;37(2):34-9
pubmed: 22365034
N Engl J Med. 2010 Jul 1;363(1):45-53
pubmed: 20463332
N Engl J Med. 2012 Apr 12;366(15):1364-6
pubmed: 22455754
Health Aff (Millwood). 2015 Mar;34(3):423-30
pubmed: 25732492
JAMA. 2016 Dec 27;316(24):2647-2656
pubmed: 28027367
Med Care. 2012 Aug;50(8):662-7
pubmed: 22410410
N Engl J Med. 2002 Apr 11;346(15):1128-37
pubmed: 11948273