Evaluating the effect of ownership status on hospital quality: the key role of innovative procedures

Laurent Gobillon and Carine Milcent

No 9272, CEPR Discussion Papers from C.E.P.R. Discussion Papers

Abstract: Mortality differences between university, non-teaching public and for-profit hospitals are investigated using a French exhaustive administrative dataset on patients admitted for heart attack. Our results show that innovative procedures play a key role in explaining the effect of ownership status on hospital quality. When age, sex, diagnoses and co-morbidities are held constant, the mortality rates in for-profit and university hospitals are similar, but they are lower than in public non-teaching hospitals. When additionally controlling for innovative procedures, the mortality rate is higher in for-profit hospitals than in the two groups of public hospitals. This suggests that the quality of care in for-profit hospitals relies on innovative procedures and that, after controlling for case-mix and innovative treatments, there is a better quality of care in public hospitals.

Keywords: Hospital quality; Innovative procedures; Stratified duration model (search for similar items in EconPapers)
JEL-codes: I12 I18 (search for similar items in EconPapers)
Date: 2013-01
New Economics Papers: this item is included in nep-hea
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Related works:
Journal Article: Evaluating the Effect of Ownership Status on Hospital Quality: The Key Role of Innovative Procedures (2016)
Working Paper: Evaluating the Effect of Ownership Status on Hospital Quality: The Key Role of Innovative Procedures (2016)
Working Paper: Evaluating the Effect of Ownership Status on Hospital Quality: The Key Role of Innovative Procedures (2016)
Working Paper: Evaluating the Effect of Ownership Status on Hospital Quality: The Key Role of Innovative Procedures (2012)
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