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The Effects of Cardiac Specialty Hospitals on the Cost and Quality of Medical Care / Jason R. Barro, Robert S. Huckman, Daniel P. Kessler.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Barro, Jason R.
Contributor:
National Bureau of Economic Research.
Huckman, Robert S.
Kessler, Daniel P.
Series:
Working Paper Series (National Bureau of Economic Research) no. w11707.
NBER working paper series no. w11707
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2005.
Summary:
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.
Notes:
Print version record
October 2005.

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