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Do markets respond to quality information? The case of fertility clinics

机译:市场是否响应质量信息?生育诊所的情况

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Although policymakers have increasingly turned to provider report cards as a tool to improve health care quality, existing studies provide mixed evidence on whether they influence consumer choices. We examine the effects of providing consumers with quality information in the context of fertility clinics providing Assisted Reproductive Therapies (ART). We report three main findings. First, clinics with higher birth rates had larger market shares after the adoption of report cards relative to before. Second, clinics with a disproportionate share of young, relatively easy-to-treat patients had lower market shares after adoption versus before. This suggests that consumers take into account information on patient mix when evaluating clinic outcomes. Third, report cards had larger effects on consumers and clinics from states with ART insurance coverage mandates. We conclude that consumers respond to quality report cards when choosing among providers of ART.
机译:尽管决策者越来越多地将提供者报告卡用作改善医疗质量的工具,但现有研究提供了有关它们是否影响消费者选择的混合证据。我们在提供辅助生殖疗法(ART)的生育诊所的背景下研究了为消费者提供优质信息的效果。我们报告了三个主要发现。首先,相对于以前,出生率较高的诊所在采用成绩单后拥有更大的市场份额。其次,收养后年轻且相对易于治疗的患者所占比例不成比例的诊所市场占有率比以前低。这表明消费者在评估临床结局时会考虑有关患者组合的信息。第三,成绩单对具有ART保险责任范围的州的消费者和诊所产生更大的影响。我们得出结论,消费者在选择ART的提供者时会对质量报告卡做出回应。

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