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We use simple economic insights to develop a framework for distinguishing between prejudice and statistical discrimination using observational data. We focus our inquiry on the enormous literature in healthcare where treatment disparities by race and gender are not explained by access,...
Persistent link: https://www.econbiz.de/10013137734
this, the UK government has pursued an active policy of hospital merger. These mergers are initiated by a regulator, acting …
Persistent link: https://www.econbiz.de/10013118244
The impacts of choice in public services are controversial. We exploit a reform in the English National Health Service to assess the impact of relaxing constraints on patient choice. We estimate a demand model to evaluate whether increased choice increased demand elasticity faced by hospitals...
Persistent link: https://www.econbiz.de/10013097271
parameters of a value-added hospital production function correcting for endogenous input choices in order to assess the private … change in hospital multi-factor productivity. Not-for-profits invested more heavily and differently in IT than for …
Persistent link: https://www.econbiz.de/10013066185
population already has geographic access to the service at a nearby hospital. The first effect is stronger, leading to the net …
Persistent link: https://www.econbiz.de/10012953515
Unlike in the production of most goods, changes in capacity for labor-intensive services only affect outcomes of interest insofar as service providers change the way they allocate their time in response to those capacity changes. In this paper, we examine how public sector service providers...
Persistent link: https://www.econbiz.de/10012889489
patients who have greater scope for hospital choice, suggesting a role for patient demand in allocation in the hospital sector …
Persistent link: https://www.econbiz.de/10012936864
Patient sorting can confound estimates of the returns to physician human capital. This paper compares nearly 30,000 patients who were randomly assigned to clinical teams from one of two academic institutions. One institution is among the top medical schools in the country, while the other...
Persistent link: https://www.econbiz.de/10012758577
decompose the joint contribution of quality and unobserved productivity to hospital costs, relying on heterogeneous tastes among … the 75th percentile would increase costs at the average hospital by nearly fifty percent. Improvements in traditional … metrics of hospital quality such as risk-adjusted mortality are more modest, indicating that other factors such as amenities …
Persistent link: https://www.econbiz.de/10012759634
This study examines the effect of HMO and for-profit HMO share on the survival of safety net services and profitable services in hospitals. Using data from 1990-2003 and proportional hazard models, I find that hospitals in high HMO markets started out having lower hazard of shutting down...
Persistent link: https://www.econbiz.de/10012760793