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Healthcare Quality, Patients’ Satisfaction, and Hospital Incentives in France
[[Qualité des soins, satisfaction des patients et incitations hospitalières en France]]

Author

Listed:
  • Nicolas Sirven

    (Larefi - Laboratoire d'analyse et de recherche en économie et finance internationales - UB - Université de Bordeaux)

  • Myriam Lescher

Abstract

Health Authorities in France recently produced and made publicly available a wide array of regularly updated hospital care quality measures (www.scopesante.fr). Economic theory applied to healthcare markets predicts that monitoring costs incurred by Health Authorities (the principal) to signal hospitals' (the agent) quality should create incentives for the latter to improve their Quality and Safety Indicators (QSIs). However, patients rarely refer to technical quality information to choose between hospitals. They are more prone to make use of subjective appraisals (such as word-of-mouth) of which patients' satisfaction is a proxy. Using a unique dataset of 2,323 hospitals in France, and overcoming sample selection issues, we found a strong and positive correlation between a standardized measure of patients' satisfaction (e-satis) and various measures of QSIs. Our results suggest that, since patients use a signal that carries information about quality, hospitals could be incited to increase healthcare quality.

Suggested Citation

  • Nicolas Sirven & Myriam Lescher, 2019. "Healthcare Quality, Patients’ Satisfaction, and Hospital Incentives in France [[Qualité des soins, satisfaction des patients et incitations hospitalières en France]]," Post-Print hal-03389625, HAL.
    • Handle: RePEc:hal:journl:hal-03389625
    DOI: 10.3917/redp.294.0525
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    Cited by:

    1. Alibrandi, Angela & Gitto, Lara & Limosani, Michele & Mustica, Paolo Fabrizio, 2023. "Patient satisfaction and quality of hospital care," Evaluation and Program Planning, Elsevier, vol. 97(C).

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