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Quality Effect of Early Discharge of Maternity Patients: Does Hospital Specialization Matter?

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  • Amporfu Eugenia

    (Kwame Nkrumah University of Science and Technology)

Abstract

The quest to reduce health care cost has led many industrialized nations to reduce hospital length of stay. This paper uses instrumental variable estimation to estimate the effect of early discharge on readmission rates of maternity patients in British Columbia, Canada and investigates how the impact varied according to hospitals' degree of specialization. Principal component analysis was used to classify the hospitals according to their degree of specialization. The results show that the early discharge policy increased readmission rates, and this increase, varied according to the degree of specialization of the hospital. The increase in readmission rate is observed to be lowest in the very highly specialized hospitals and highest in the moderately specialized hospitals. The highly specialized hospitals are, however, capable of using resources most efficiently at least partly due to a reduction in the use of invasive procedures.

Suggested Citation

  • Amporfu Eugenia, 2008. "Quality Effect of Early Discharge of Maternity Patients: Does Hospital Specialization Matter?," Forum for Health Economics & Policy, De Gruyter, vol. 11(2), pages 1-28, December.
    • Handle: RePEc:bpj:fhecpo:v:11:y:2008:i:2:n:11
    DOI: 10.2202/1558-9544.1116
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    References listed on IDEAS

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    1. Gowrisankaran, Gautam & Town, Robert J., 1999. "Estimating the quality of care in hospitals using instrumental variables," Journal of Health Economics, Elsevier, vol. 18(6), pages 747-767, December.
    2. White, Halbert, 1980. "A Heteroskedasticity-Consistent Covariance Matrix Estimator and a Direct Test for Heteroskedasticity," Econometrica, Econometric Society, vol. 48(4), pages 817-838, May.
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    Cited by:

    1. Eugenia Amporfu, 2011. "Private hospital accreditation and inducement of care under the ghanaian national insurance scheme," Health Economics Review, Springer, vol. 1(1), pages 1-9, December.

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