Advanced Search
MyIDEAS: Login to save this paper or follow this series

Ownership, System of reimbursement and Mortality rate relationships

Contents:

Author Info

  • Carine Milcent

Abstract

The issue is the real effect of the hospital type on the mortality rate. The statistical results on the mortality rate by hospital type (ownership and system of reimbursement) can lead to tremendous misinterpretations. According to statistical results we could conclude that the incentive created by fee-for-service reimbursement allows on 8 point save on the mortality rate. In fact, this ranking on hospital quality is completely dependant of characteristics and illness severity of patients. The computation on mortality rate by age structure crossed with sex totally changes the ranking. To take into account this difficulty, we use a innovative duration model applied to panel data. We consider a duration model with two kinds of unobserved heterogeneity, patient unobserved heterogeneity and hospital unobserved heterogeneity. No assumption of distribution is done on the latter component. By taking into account the observable and unobservable patient heterogeneity, we control the fact that patients admitted in the private sector can be different in term of disease gravity than patients admitted in the public one. We find that the hospital type effect on the instantaneous death probability depends more on the capacity to perform innovative procedure than on the system of reimbursement and/or the ownership. However, hospitals of the private sector both provide more innovative procedures and are more numerous to adopt innovation. Thereby, hospitals of the private sector provide a better quality of care, measured by the probability of dying. Nevertheless, heterogeneity within the type of hospital is bigger in the for-profit hospitals in comparison with the other types of hospital. It suggests that by choosing for-profit hospital, the patient of reference have in average, a lower of instantaneous probability of dying but are less sure about the quality of the hospital.

Download Info

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
File URL: http://www.delta.ens.fr/abstracts/wp200318.pdf
Our checks indicate that this address may not be valid because: 404 Not Found. If this is indeed the case, please notify ()
Download Restriction: no

Bibliographic Info

Paper provided by DELTA (Ecole normale supérieure) in its series DELTA Working Papers with number 2003-18.

as in new window
Length:
Date of creation: 2003
Date of revision:
Handle: RePEc:del:abcdef:2003-18

Contact details of provider:
Postal: 48 boulevard Jourdan - 75014 Paris
Phone: 01 43 13 63 00
Fax: 01 43 13 63 10
Email:
Web page: http://www.delta.ens.fr/
More information through EDIRC

Related research

Keywords:

This paper has been announced in the following NEP Reports:

References

No references listed on IDEAS
You can help add them by filling out this form.

Citations

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:del:abcdef:2003-18. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.