The effects of cardiac specialty hospitals on the cost and quality of medical care

Description

"The recent rise of specialty hospitals -- 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 (predominantly 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"--National Bureau of Economic Research web site.

Subjects

Series Statement

• NBER working paper series ;
• working paper 11707
• Working paper series (National Bureau of Economic Research : Online) ;
• working paper no. 11707.

Links

• http://papers.nber.org/papers/w11707
• URL