Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector

被引：97

作者：

Chandra, Amitabh ^{[1
,2
]}

Finkelstein, Amy ^{[2
,3
,4
]}

Sacarny, Adam ^{[5
]}

Syverson, Chad ^{[2
,6
]}

机构：

[1] Harvard Kennedy Sch, Mailbox 114,79 JFK St, Cambridge, MA 02138 USA

[2] NBER, Cambridge, MA 02138 USA

[3] Dept Econ, 77 Massachusetts Ave,Bldg E52,Room 442, Cambridge, MA 02139 USA

[4] MIT, Cambridge, MA 02139 USA

[5] Columbia Univ, Mailman Sch Publ Hlth, Dept Hlth Policy & Management, 4th Floor,722 West 168 St, New York, NY 10032 USA

[6] Chicago Booth, Room 519,5807 South Woodlawn Ave, Chicago, IL 60637 USA

来源：

AMERICAN ECONOMIC REVIEW | 2016年 / 106卷 / 08期

关键词：

ASSOCIATION GUIDELINES UPDATE; ACUTE MYOCARDIAL-INFARCTION; CARDIOPULMONARY-RESUSCITATION; MEDICARE BENEFICIARIES; HOSPITAL READMISSION; PRODUCTIVITY GROWTH; FIRM TURNOVER; QUALITY; COMPETITION; REALLOCATION;

D O I：

10.1257/aer.20151080

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

The conventional wisdom for the health care sector is that idiosyncratic features leave little scope for market forces to allocate consumers to higher performance producers. However, we find robust evidence across several different conditions and performance measures that higher quality hospitals have higher market shares and grow more over time. The relationship between performance and allocation is stronger among patients who have greater scope for hospital choice, suggesting that patient demand plays an important role in allocation. Our findings suggest that health care may have more in common with "traditional" sectors subject to market forces than often assumed.

引用

页码：2110 / 2144

页数：35

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