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Health Status After Cancer. Does It Matter Which Hospital You Belong To?

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  • Jon H. Fiva
  • Torbjørn Hægeland
  • Marte Rønning

    ()
    (Statistics Norway)

Abstract

Survival rates are widely used to compare quality of health care. In this paper we introduce post-illness employment as a supplemental indicator of successful treatment of serious diseases. Utilizing rich register based data on cancer patients we document substantial differences across Norwegian hospital catchment areas with respect to employment five years after diagnosis. Conventional quality indicators based on survival rates indicate smaller differences. The two sets of indicators are only weakly correlated, suggesting that they capture different parts of the quality distribution, and that using only one of them may be insufficient.

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Bibliographic Info

Paper provided by Research Department of Statistics Norway in its series Discussion Papers with number 590.

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Date of creation: Sep 2009
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Handle: RePEc:ssb:dispap:590

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Keywords: Quality indicators; health sector; survival; employment; cancer;

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  1. Cathy Bradley & David Neumark & Heather Bednarek & Maryjean Schenk, 2004. "Short-term Effects of Breast Cancer on Labor Market Attachment: Results from a Longitudinal Study," PPIC Working Papers 2004.01, Public Policy Institute of California.
  2. Carlsen, Fredrik, 1994. "Hospital financing in Norway," Health Policy, Elsevier, vol. 28(2), pages 79-88, May.
  3. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2005. "The Determinants of Mortality," Working Papers 235, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
  4. David M. Cutler, 2008. "Are We Finally Winning the War on Cancer?," Journal of Economic Perspectives, American Economic Association, vol. 22(4), pages 3-26, Fall.
  5. John Geweke & Gautam Gowrisankaran & Robert J. Town, 2003. "Bayesian Inference for Hospital Quality in a Selection Model," Econometrica, Econometric Society, vol. 71(4), pages 1215-1238, 07.
  6. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
  7. Angrist, Joshua D, 2001. "Estimations of Limited Dependent Variable Models with Dummy Endogenous Regressors: Simple Strategies for Empirical Practice," Journal of Business & Economic Statistics, American Statistical Association, vol. 19(1), pages 2-16, January.
  8. Charles M. Tiebout, 1956. "A Pure Theory of Local Expenditures," Journal of Political Economy, University of Chicago Press, vol. 64, pages 416.
  9. Paul van den Noord & Terje Hagen & Tor Iversen, 1998. "The Norwegian Health Care System," OECD Economics Department Working Papers 198, OECD Publishing.
  10. Kravdal, Øystein, 2001. "The impact of marital status on cancer survival," Social Science & Medicine, Elsevier, vol. 52(3), pages 357-368, February.
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