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首页> 外文期刊>Journal of health economics >Subjective and objective quality and choice of hospital: Evidence from maternal care services in Germany
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Subjective and objective quality and choice of hospital: Evidence from maternal care services in Germany

机译：主观和客观质量以及医院选择：德国产妇护理服务的证据

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摘要

We study patient choice of healthcare provider based on both objective and subjective quality measures in the context of maternal care hospital services in Germany. Objective measures are obtained from publicly reported clinical indicators, while subjective measures are based on satisfaction scores from a large and nationwide patient survey. We merge both quality metrics to detailed hospital discharge records and quantify the additional distance expectant mothers are willing to travel to give birth in maternity clinics with higher reported quality. Our results reveal that patients are on average willing to travel 0.1-2.7 additional kilometers for a one standard deviation increase in quality. Patients respond to both objective and subjective quality measures, suggesting that patient satisfaction scores may constitute important complements to clinical indicators when choosing provider. (C) 2019 Elsevier B.V. All rights reserved.
机译：我们在德国产妇护理医院服务的背景下，基于客观和主观质量指标研究医疗保健提供者的患者选择。客观测量是从公开报告的临床指标中获得的，而主观测量是基于一项来自全国范围的大型患者调查中的满意度得分。我们将两个质量指标合并到详细的出院记录中，并量化了准妈妈们愿意在报告质量更高的产科诊所分娩的距离。我们的结果表明，患者平均愿意再增加0.1-2.7公里，以保证质量提高一个标准差。患者对客观和主观质量指标都做出了反应，表明患者满意度评分可能构成选择提供者时临床指标的重要补充。 （C）2019 Elsevier B.V.保留所有权利。

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