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Is Hospital Quality Predictive of Pandemic Deaths? Evidence from US Counties

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  • Kunz, Johannes
  • Propper, Carol

Abstract

In the large literature on the spatial-level correlates of COVID-19, the association between quality of hospital care and outcomes has received little attention to date. To examine whether county-level mortality is correlated with measures of hospital performance, we assess daily cumulative deaths and pre-crisis measures of hospital quality, accounting for state ï¬ xed-effects and potential confounders. As a measure of quality, we use the pre-pandemic adjusted ï¬ ve-year penalty rates for excess 30-day readmissions following pneumonia admissions for the hospitals accessible to county residents based on ambulance travel patterns. Our adjustment corrects for socio-economic status and down-weighs observations based on small samples. We ï¬ nd that a one-standard-deviation increase in the quality of local hospitals is associated with a 2% lower death rate (relative to the mean of 20 deaths per 10,000 people) one and a half years after the ï¬ rst recorded death.

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  • Kunz, Johannes & Propper, Carol, 2022. "Is Hospital Quality Predictive of Pandemic Deaths? Evidence from US Counties," CEPR Discussion Papers 17365, C.E.P.R. Discussion Papers.
    • Handle: RePEc:cpr:ceprdp:17365
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    Cited by:

    1. Johannes S. Kunz & Carol Propper & Kevin E. Staub & Rainer Winkelmann, 2024. "Assessing the quality of public services: For‐profits, chains, and concentration in the hospital market," Health Economics, John Wiley & Sons, Ltd., vol. 33(9), pages 2162-2181, September.

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    More about this item

    Keywords

    Covid-19; County-level deaths; Hospital quality; Health care systems;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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