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Modern Management Practices and Hospital Admissions

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  • K. John McConnell
  • Richard C. Lindrooth
  • Douglas R. Wholey
  • Thomas M. Maddox
  • Nick Bloom

Abstract

We investigate whether the modern management practices and publicly reported performance measures are associated with choice of hospital for patients with acute myocardial infarction (AMI). We define and measure management practices at approximately half of US cardiac care units using a novel survey approach. A patient's choice of a hospital is modeled as a function of the hospital's performance on publicly reported quality measures and the quality of its management. The estimates, based on a grouped conditional logit specification, reveal that higher management scores and better performance on publicly reported quality measures are positively associated with hospital choice. Management practices appear to have a direct correlation with admissions for AMI—potentially through reputational effects—and indirect association, through better performance on publicly reported measures. Overall, a one standard deviation change in management practice scores is associated with an 8% increase in AMI admissions. Copyright © 2015 John Wiley & Sons, Ltd.

Suggested Citation

  • K. John McConnell & Richard C. Lindrooth & Douglas R. Wholey & Thomas M. Maddox & Nick Bloom, 2016. "Modern Management Practices and Hospital Admissions," Health Economics, John Wiley & Sons, Ltd., vol. 25(4), pages 470-485, April.
  • Handle: RePEc:wly:hlthec:v:25:y:2016:i:4:p:470-485
    DOI: 10.1002/hec.3171
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    References listed on IDEAS

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    Cited by:

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    3. Görg, Holger & Hanley, Aoife, 2017. "Firms’ global engagement and management practices," Economics Letters, Elsevier, vol. 155(C), pages 80-83.
    4. Gutacker, Nils & Siciliani, Luigi & Moscelli, Giuseppe & Gravelle, Hugh, 2016. "Choice of hospital: Which type of quality matters?," Journal of Health Economics, Elsevier, vol. 50(C), pages 230-246.
    5. Arimoto, Yutaka & 有本, 寛 & Kurata, Masamitsu, 2017. "Adoption of Management Practices in the Public Sector of Bangladesh," Discussion Paper Series 654, Institute of Economic Research, Hitotsubashi University.
    6. Lippi Bruni, Matteo & Ugolini, Cristina & Verzulli, Rossella, 2021. "Should I wait or should I go? Travelling versus waiting for better healthcare," Regional Science and Urban Economics, Elsevier, vol. 89(C).
    7. Adam Pilny & Felix Roesel, 2020. "Are Doctors Better Health Ministers?," American Journal of Health Economics, University of Chicago Press, vol. 6(4), pages 498-532.
    8. Sandra G. Sosa-Rubí & Sergio Bautista-Arredondo & Carlos Chivardi-Moreno & David Contreras-Loya & Gina Hera-Fuentes & Marjorie Opuni, 2021. "Efficiency, quality, and management practices in health facilities providing outpatient HIV services in Kenya, Nigeria, Rwanda, South Africa and Zambia," Health Care Management Science, Springer, vol. 24(1), pages 41-54, March.
    9. M. Lippi Bruni & C. Ugolini & R. Verzulli, 2018. "Disentangling the effect of waiting times on hospital choice: Evidence from a panel data analysis," Working Papers wp1118, Dipartimento Scienze Economiche, Universita' di Bologna.
    10. Catherine Buffington & Lucia Foster & Ron Jarmin & Scott Ohlmacher, 2016. "The Management and Organizational Practices Survey (MOPS): An Overview," Working Papers 16-28, Center for Economic Studies, U.S. Census Bureau.
    11. Fatih Cemil ÖZBUGDAY, 2017. "Hospital Quality and Demand: An Analysis of German Hospitals Using Distance-Metric Approach," Ege Academic Review, Ege University Faculty of Economics and Administrative Sciences, vol. 17(4), pages 493-504.
    12. Emek Basker & Randy A. Becker & Lucia Foster & T. Kirk White & Alice Zawacki, 2019. "Addressing Data Gaps: Four New Lines of Inquiry in the 2017 Economic Census," Working Papers 19-28, Center for Economic Studies, U.S. Census Bureau.

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