EconPapers    
Economics at your fingertips  
 

Volume-outcome relationship and minimum volume regulations in the German hospital sector – evidence from nationwide administrative hospital data for the years 2005–2007

Corinna Hentschker (), Roman Mennicken (), Antonius Reifferscheid (), Juergen Wasem and Ansgar Wübker ()
Additional contact information
Roman Mennicken: FOM University of Applied Sciences, Essen Landschaftsverband Rheinland
Antonius Reifferscheid: University Duisburg-Essen

Health Economics Review, 2018, vol. 8, issue 1, 1-14

Abstract: Abstract Background This paper analyses the volume-outcome relationship and the effects of minimum volume regulations in the German hospital sector. Methods We use a full sample of administrative data from the unselected, complete German hospital population for the years 2005 to 2007. We apply regression methods to analyze the association between volume and hospital quality. We measure hospital quality with a binary variable, which indicates whether the patient has died in hospital. Using simulation techniques we examine the impact of the minimum volume regulations on the accessibility of hospital services. Results We find a highly significant negative relationship between case volume and mortality for complex interventions at the pancreas and oesophagus as well as for knee replacement. For liver, kidney and stem cell transplantation as well as for CABG we could not find a strong association between volume and quality. Access to hospital care is only moderately affected by minimum volume regulations. Conclusion The effectiveness of minimum volume regulations depends on the type of intervention. Depending on the type of intervention, quality gains can be expected at the cost of slightly decreased access to care.

Keywords: Volume; Hospital quality; Mortality; Access to care (search for similar items in EconPapers)
JEL-codes: I12 I18 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1) Track citations by RSS feed

Downloads: (external link)
http://link.springer.com/10.1186/s13561-018-0204-8 Abstract (text/html)

Related works:
Working Paper: Volume-outcome relationship and minimum volume regulations in the German hospital sector: Evidence from nationwide administrative hospital data for the year 2005-2007 (2017) Downloads
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:hecrev:v:8:y:2018:i:1:d:10.1186_s13561-018-0204-8

Ordering information: This journal article can be ordered from
http://www.springer.com/journal/13561

DOI: 10.1186/s13561-018-0204-8

Access Statistics for this article

Health Economics Review is currently edited by J. Matthias Graf von der Schulenburg

More articles in Health Economics Review from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().

 
Page updated 2021-04-21
Handle: RePEc:spr:hecrev:v:8:y:2018:i:1:d:10.1186_s13561-018-0204-8