The effects of hospital ownership on medical productivity

• 成果类型: Article; Proceedings Paper
• 署名作者: Kessler, DP; McClellan, MB
• 署名单位: Stanford University; National Bureau of Economic Research
• 刊物名称: RAND JOURNAL OF ECONOMICS
• ISSN/ISSBN: 0741-6261
• DOI: 10.2307/3087469
• 发表日期: 2002
• 页码: 488-506
• 关键词: for-profit; nonprofit; COMPETITION; incentives; care; institutions; performance; EFFICIENCY

摘要

To develop new evidence on how hospital ownership and other aspects of hospital market composition affect health care productivity, we analyze longitudinal data on the medical expenditures and health outcomes of the vast majority of nonrural elderly Medicare beneficiaries hospitalized for new heart attacks over the period 1985-1996. We find that the, effects of ownership status are quantitatively important. Areas with a presence of for-profit hospitals have approximately 2.4% lower levels of hospital expenditures, but virtually the same patient health outcomes. We conclude that for-profit hospitals have important spillover benefits for medical productivity.