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Beeinflussen bessere Qualitätsinformationen die Krankenhauswahl in Deutschland?

  • Ansgar Wübker

    ()

    (Universität Witten Herdecke)

  • Dirk Sauerland

    ()

    (Universität Witten Herdecke)

  • Achim Wübker

    ()

    (Universität Osnabrück)

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extend their market shares after relative to before publishing the quality data – compared to such hospitals that do not publish their quality data.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.

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Article provided by Justus-Liebig University Giessen, Department of Statistics and Economics in its journal Journal of Economics and Statistics.

Volume (Year): 230 (2010)
Issue (Month): 4 (August)
Pages: 467-490

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Handle: RePEc:jns:jbstat:v:230:y:2010:i:4:p:467-490
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  1. Walter Ried, 2007. "Medizinisch-technischer Fortschritt und altersspezifische Gesundheitsausgaben," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), Justus-Liebig University Giessen, Department of Statistics and Economics, vol. 227(5+6), pages 636-659, December.
  2. Sauerland, Dirk, 2009. "The legal framework for health care quality assurance in Germany," Health Economics, Policy and Law, Cambridge University Press, vol. 4(01), pages 79-98, January.
  3. 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.
  4. 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.
  5. M. Kate Bundorf & Natalie Chun & Gopi Shah Goda & Daniel P. Kessler, 2008. "Do Markets Respond to Quality Information? The Case of Fertility Clinics," NBER Working Papers 13888, National Bureau of Economic Research, Inc.
  6. Arellano, Manuel & Bond, Stephen, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," Review of Economic Studies, Wiley Blackwell, vol. 58(2), pages 277-97, April.
  7. 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.
  8. David Dranove & Daniel Kessler & Mark McClellan & Mark Satterthwaite, 2002. "Is More Information Better? The Effects of 'Report Cards' on Health Care Providers," NBER Working Papers 8697, National Bureau of Economic Research, Inc.
  9. 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.
  10. Axel Boersch-Supan, 2007. "Vertragswettbewerb im Gesundheitswesen," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), Justus-Liebig University Giessen, Department of Statistics and Economics, vol. 227(5+6), pages 451-465, December.
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