The effects of cardiac special hospitals on the cost and quality of medical care:
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Bibliographic Details
Main Authors: Barro, Jason R. (Author), Huckman, Robert S. (Author), Kessler, Daniel P. 1966- (Author)
Format: Book
Language:English
Published: Cambridge, Mass. National Bureau of Economic Research 2005
Series:National Bureau of Economic Research <Cambridge, Mass.>: NBER working paper series 11707
Subjects:
Links:http://papers.nber.org/papers/w11707.pdf
Abstract:The recent rise of specialty hospital - typically for-profit firms that are at least partially owned by physicians - has led to substantial debate about their effects on the cost and quality of care. Advocates of specialty hospitals claim they improve quality and lower cost; critics contend they concentrate on providing profitable procedures and attracting relatively healthy patients, leaving (pedominantly nonprofit) general hospitals with a less-remunerative, sicker patient population. We find support for both sides of this debate. Markets experiencing entry by a cardiac specialty hospital have lower spending for cardiac care without significantly worse clinical outcomes. In markets with a specialty hospital, however, specialty hospitals tend to attract healthier patients and provide higher levels of intensive procedures than general hospitals.
Physical Description:35 S.