People in Canada and the U.S. often make claims regarding whose country has a better health system. Several researchers have attempted to address this question by analysing subjective health in the two countries, thus assuming a common definition of “good” health. Using data from the Joint...

Using a randomized field experiment, we show that health care specialists cream-skim patients by their expected profitability. In the German two-tier system, outpatient reimbursement rates for both public and private insurance are centrally determined but are more than twice as high for the...

This paper examines the effects of hospital case volume on quality of care on the example of intact abdominal aortic aneurysm (AAA) and hip fracture (HIP). We conduct the analysis on patient level with multiple logistic regression analysis. Quality is measured with a binary variable which...

Medical technological progress has been shown to be the main driver of health care costs. A key policy question is whether new treatment options are worth the additional costs. In this paper we assess the causal effect of percutaneous transluminal coronary angioplasty (PTCA), a major new heart...

This paper examines the causal effect of the experience of a hospital with treating hip fractures (volume) on treatment outcome for patients. A full sample of administrative data from Germany for the year 2007 is used. We apply an instrumental variable approach to eliminate endogeneity concerns...

This paper investigates the relationship between health outcomes and variations in staffing levels as approximated by admissions on weekdays versus admissions on weekends. Because days of admission are potentially endogenous, we instrument on emergency admissions only, which are reasonably...

This paper analyses the volume-outcome relationship and the effects of minimum volume regulations in the German hospital sector. We use a full sample of administrative data from the unselected, complete German hospital population for the years 2005 to 2007. We apply regression methods to analyze...

The concentration of hospital capacities often involves closures of smaller hospital sites. While advocates of hospital concentrations emphasize increased quality of care and cost savings, some people may feel their health care is at risk. In this paper, I analyze the effect of 18 recent...

This paper evaluates the effectiveness of the German Minimum Legal Drinking Age in reducing excessive drinking and alcohol-related hospital stays. We add to previous studies by looking at a considerably earlier cutoff at age 16, when teenagers in Germany gain legal access to beer, wine, and...

Malaria kills about 1,500 children every day. Based on the Demographic and Health Surveys, we examine malaria treatment practices of various health care providers in sub-Saharan Africa, where more than 90 percent of the world’s deaths due to malaria occur. To assess the quality of each health...