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Start Spreading The News: A Structural Estimate Of The Effects Of New York Hospital Report Cards

机译:开始传播新闻:纽约医院报告卡效果的结构估计

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摘要

Research on the effects of publicly reported hospital quality report cards on patient market shares is mixed. Higher-ranking hospitals do not consistently experience increases in market share. We argue that this may be because the report cards do not always convey "news" about quality; in some cases the rankings conform with prior beliefs about quality. We develop a structural model of the "news" in report cards and estimate the model using data from New York State in 1989-1991. We show hospitals with negative news in the original 1990 report cards experienced a decrease in market share, but that a misspecified model might continue to find no report card effect.
机译:关于公开报告的医院质量报告卡对患者市场份额的影响的研究好坏参半。更高级别的医院并不能始终保持市场份额的增长。我们认为这可能是因为报告卡并不总是传达有关质量的“新闻”。在某些情况下,排名符合先前对质量的看法。我们开发了报告卡中“新闻”的结构模型,并使用1989-1991年纽约州的数据对模型进行了估算。我们在1990年的原始报告卡中显示了负面消息的医院市场份额有所下降,但是错误指定的模型可能会继续发现报告卡没有作用。

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