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Beeinflussen bessere Qualitätsinformationen die Krankenhauswahl in Deutschland? / Does Better Quality Information Affect Hospital Choice in Germany?: Eine empirische Untersuchung / An Empirical Analysis

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  • Wübker Ansgar
  • Sauerland Dirk

    (Universität Witten/Herdecke, Lehrstuhl für Institutionenökonomik und Gesunheitssystemmanagement, Alfred-Herrhausen-Str. 50, 58448 Witten, Germany)

  • Wübker Achim

    (Institut für Mathematik, Arbeitsgruppe Stochastik, Universität Osnabrück, Albrechtstraße 28a, 49076 Osnabrück, Germany)

Abstract

This paper examines, whether well prepared report cards affect hospital choice within Germany. We report three main findings. First: hospitals, which publish their quality data voluntarily, extend their market shares after relative to before publishing the quality data - compared to such hospitals that do not publish their quality data. Second: in the group of the publishing hospitals, hospitals with a higher than average quality increased their market shares after relative to before the adoption of the report card - compared to hospitals with a lower than average quality. Third: hospitals with quality below average are basically chosen by patients living nearby and not by those with a higher travelling distance. Based on these finding decision makers in hospitals have strong incentives (i) to make quality information publicly available and (ii) to keep their quality scores high.

Suggested Citation

  • Wübker Ansgar & Sauerland Dirk & Wübker Achim, 2010. "Beeinflussen bessere Qualitätsinformationen die Krankenhauswahl in Deutschland? / Does Better Quality Information Affect Hospital Choice in Germany?: Eine empirische Untersuchung / An Empirical Analys," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 230(4), pages 467-490, August.
  • Handle: RePEc:jns:jbstat:v:230:y:2010:i:4:p:467-490
    DOI: 10.1515/jbnst-2010-0407
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    References listed on IDEAS

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    1. Bundorf, M. Kate & Chun, Natalie & Goda, Gopi Shah & Kessler, Daniel P., 2009. "Do markets respond to quality information? The case of fertility clinics," Journal of Health Economics, Elsevier, vol. 28(3), pages 718-727, May.
    2. Wedig, Gerard J. & Tai-Seale, Ming, 2002. "The effect of report cards on consumer choice in the health insurance market," Journal of Health Economics, Elsevier, vol. 21(6), pages 1031-1048, November.
    3. Ma, Ching-to Albert, 1994. "Health Care Payment Systems: Cost and Quality Incentives," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 3(1), pages 93-112, Spring.
    4. Propper, Carol & Burgess, Simon & Green, Katherine, 2004. "Does competition between hospitals improve the quality of care?: Hospital death rates and the NHS internal market," Journal of Public Economics, Elsevier, vol. 88(7-8), pages 1247-1272, July.
    5. David Dranove & Daniel Kessler & Mark McClellan & Mark Satterthwaite, 2003. "Is More Information Better? The Effects of "Report Cards" on Health Care Providers," Journal of Political Economy, University of Chicago Press, vol. 111(3), pages 555-588, June.
    6. Ried Walter, 2007. "Medizinisch-technischer Fortschritt und altersspezifische Gesundheitsausgaben / Medical Progress and Age-specific Expenditure on Health Care," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 227(5-6), pages 636-659, October.
    7. Sauerland Dirk, 2004. "Die Gesetzliche Krankenversicherung in der Sozialen Marktwirtschaft: eine ordnungspolitische Analyse," ORDO. Jahrbuch für die Ordnung von Wirtschaft und Gesellschaft, De Gruyter, vol. 55(1), pages 209-234, January.
    8. Sauerland, Dirk, 2009. "The legal framework for health care quality assurance in Germany," Health Economics, Policy and Law, Cambridge University Press, vol. 4(1), pages 79-98, January.
    9. Leemore Dafny & David Dranove, 2008. "Do report cards tell consumers anything they don't already know? The case of Medicare HMOs," RAND Journal of Economics, RAND Corporation, vol. 39(3), pages 790-821, September.
    10. Luigi Siciliani & Steve Martin, 2007. "An empirical analysis of the impact of choice on waiting times," Health Economics, John Wiley & Sons, Ltd., vol. 16(8), pages 763-779, August.
    11. Manuel Arellano & Stephen Bond, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 58(2), pages 277-297.
    12. Börsch-Supan Axel, 2007. "Vertragswettbewerb im Gesundheitswesen / Double-sided Competition for the German Health Care Market," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 227(5-6), pages 451-465, October.
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