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Subjective and objective quality and choice of hospital: Evidence from maternal care services in Germany

Daniel Avdic (), Giuseppe Moscelli, Adam Pilny and Ieva Sriubaite

Journal of Health Economics, 2019, vol. 68, issue C

Abstract: We study patient choice of healthcare provider based on both objective and subjective quality measures in the context of maternal care hospital services in Germany. Objective measures are obtained from publicly reported clinical indicators, while subjective measures are based on satisfaction scores from a large and nationwide patient survey. We merge both quality metrics to detailed hospital discharge records and quantify the additional distance expectant mothers are willing to travel to give birth in maternity clinics with higher reported quality. Our results reveal that patients are on average willing to travel 0.1–2.7 additional kilometers for a one standard deviation increase in quality. Patients respond to both objective and subjective quality measures, suggesting that patient satisfaction scores may constitute important complements to clinical indicators when choosing provider.

Keywords: Competition; Provider choice; Maternal care; Quality (search for similar items in EconPapers)
JEL-codes: C25 D82 H51 I11 I18 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (18)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:68:y:2019:i:c:s0167629618307495

DOI: 10.1016/j.jhealeco.2019.102229

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