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Most studies of competition in health care focus on prices and costs, but concerns about quality play a central role in … policy debates. If demand is inelastic to quality, then competition may reduce patient welfare. This study uses a dataset of … quality when choosing hospitals. Results indicate that at the hospital level, a one-standard deviation increase in the graft …
Persistent link: https://www.econbiz.de/10005579700
We investigate the effect of competition on quality in regulated markets (e.g., health care, higher education, public … utilities) taking a di¤erential game approach, in which quality is a stock variable. Using a Hotelling framework, we derive the … the marginal provision cost is increasing, investment and quality are lower in the closed-loop solution: in fact, quality …
Persistent link: https://www.econbiz.de/10005695867
The Accident and Emergency Departments (A&EDs) are responsible for a large share of overall hospitalization, diagnostic activity, and ultimately health care expenditure. Most health care systems use retrospective reimbursement systems to finance A&E departments, but this system may not be...
Persistent link: https://www.econbiz.de/10010626173
decades, very little is known about the quality of care CCRCs provide. This paper is the first to rigorously study CCRCs on a … national scale and the only study that focuses on nursing home quality. Using a national sample from 2005, we determine if the … quality of post-acute care provided by CCRC nursing homes is superior to traditional nursing homes. To mimic randomization of …
Persistent link: https://www.econbiz.de/10010709405
quality delivered by hospitals, using Italian data. We explore the impact on individual choices of a set of variables such as … patients' hospital choices. We then use this framework to assess how such interaction is related to clinical hospital quality … individuals and the quality delivered by hospitals. The absence of a source of information on the quality of hospitals accessible …
Persistent link: https://www.econbiz.de/10008567958
Objective: The purpose is to assess whether the joint evaluation of costs and quality affects the ranking of hospital … across six vascular departments are pooled we estimate fixed effect models for costs (linear) and quality (logistic). We … consider two quality measures; mortality and wound complications. To assess whether the joint evaluation of costs and quality …
Persistent link: https://www.econbiz.de/10008568482
Objective: The purpose is to explore whether better structure and process management provide better outcome quality for … seven vascular departments are pooled we estimate fixed effect logit models for three outcome quality measures; 30 day … mortality, death after discharge and wound complications. First, we estimate the association between three process quality …
Persistent link: https://www.econbiz.de/10008568483
We analyse the relationship between the quality of a GP practice in England and the degree of competition that it faces … rival GP practices provide a higher quality of care than that provided by GP practices that lack competitors. This higher … level of quality is observed firstly in an indicator of clinical quality (referrals to secondary care for conditions that …
Persistent link: https://www.econbiz.de/10008777387
This article analyzes hospital privatization by comparing costs and quality between different ownership forms. We put … about Spanish hospitals, we have found that private hospitals provide services at a lower cost at expenses of lower quality … centers. We argue that the trade-off between costs and quality could be minimized by designing financing contracts with fixed …
Persistent link: https://www.econbiz.de/10008676505
We present a model of optimal contracting between a purchaser and a provider of health services when quality has two … dimensions. We assume that one dimension of quality is veri?able (dimension 1) and one dimension is not verifiable (dimension 2 … quality 1 increases or decreases the provider's marginal disutility and the patients' marginal benefit from quality 2 (i …
Persistent link: https://www.econbiz.de/10008876378