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| Author: | Romley, J.A. Goldman, D.P. |
| Title: | How costly is hospital quality? A revealed-preference approach |
| Journal: | Journal of Industrial Economics
2011 : DEC, VOL 59:4 p. 578-608 |
| Index terms: | consumer behaviour hospitals quality control demand analysis competition USA |
| Language: | eng |
| Abstract: | The cost of improving quality in hospitals is analyzed, concentrating on two challenges. Hospital quality is multidimensional and difficultly measurable, while unobserved productivity may affect quality supply. We deduct the quality of hospitals in Los Angeles from patient choices, and then build 'revealed quality' into a cost function, instrumenting with hospital demand. The findings are such that revealed quality differentiates hospitals, however it is not strongly correlated with clinical quality. Revealed quality is rather costly, and generally increases with hospital productivity. Hence, non-clinical perspectives of the hospital experience (perhaps including patient amenities) have substantial effects on hospital demand, competition, and costs. |
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