Start spreading the news: a structural estimate of the effects of New York hospital report cards.

نویسندگان

  • David Dranove
  • Andrew Sfekas
چکیده

Research on the effects of publicly reported hospital quality report cards on patient market shares is mixed. Higher-ranking hospitals do not consistently experience increases in market share. We argue that this may be because the report cards do not always convey "news" about quality; in some cases the rankings conform with prior beliefs about quality. We develop a structural model of the "news" in report cards and estimate the model using data from New York State in 1989-1991. We show hospitals with negative news in the original 1990 report cards experienced a decrease in market share, but that a misspecified model might continue to find no report card effect.

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عنوان ژورنال:
  • Journal of health economics

دوره 27 5  شماره 

صفحات  -

تاریخ انتشار 2008