Integration and Task Allocation: Evidence from Patient Care

Guy David; Evan Rawley; Daniel Polsky

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Integration and Task Allocation: Evidence from Patient Care

机译：整合和任务分配：来自患者护理的证据

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Using the universe of patient transitions from inpatient hospital care to skilled nursing facilities and home health care in 2005, we show how integration eliminates task misallocation problems between organizations. We find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower-cost organizations by discharging patients earlier (and in poorer health) and increasing post-hospitalization service intensity. Although integration facilitates a shift in the allocation of tasks and resources, health outcomes either improved or were unaffected by integration on average. The evidence suggests that integration solves coordination problems that arise in market exchange through improvements in the allocation of tasks across care settings.

机译：利用2005年从住院病人到医院的护理过渡到熟练的护理设施和家庭保健的整个过程，我们展示了整合如何消除组织之间的任务分配不当问题。我们发现，垂直整合使医院可以通过尽早出院（病情较差）和增加住院后服务的强度，将患者的恢复任务向下游转移到成本更低的组织。尽管整合促进了任务和资源分配的转变，但平均而言，健康结果有所改善或不受其影响。有证据表明，通过改善跨医疗机构的任务分配，整合解决了市场交换中出现的协调问题。

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《Journal Economics & Management Strategy》 |2013年第3期|617-639|共23页
作者
Guy David; Evan Rawley; Daniel Polsky;
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The Wharton School University of Pennsylvania and NBER 202 Colonial Penn Center 3641 Locust Walk Philadelphia PA 19104-6218;

Columbia Business School Columbia University Uris Hall, 3022 Broadway, Room 702, New York, NY, 10027-6902;

University of Pennsylvania Blockley Hall Room 1204, 423 Guardian Drive Philadelphia PA 19104;

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6. Integration and Task Allocation: Evidence from Patient Care [O] . Guy David, Evan Rawley, Daniel Polsky -1

机译：整合和任务分配：来自患者护理的证据
7. Integration and Task Allocation: Evidence From Patient Care [O] . David, Guy, Rawley, Evan, Polsky, Daniel 2013

机译：整合和任务分配：来自患者护理的证据

Integration and Task Allocation: Evidence from Patient Care

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