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

Daniel Avdic (), Tugba Bueyuekdurmus, Giuseppe Moscelli, Adam Pilny and Ieva Sriubaite
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Tugba Bueyuekdurmus: CINCH - Health Economics Research Center
Ieva Sriubaite: CINCH - Health Economics Research Center and RWI - Leibniz-Institut fuer Wirtschaftsforschung

No 1803, CINCH Working Paper Series from Universitaet Duisburg-Essen, Competent in Competition and Health

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 between 0.7-4.2 additional kilometers for a one standard deviation increase in reported quality. Furthermore, patients respond independently to both objective and subjective quality measures, suggesting that satisfaction scores may constitute important complements to clinical indicators when choosing healthcare provider.

Keywords: hospital competition; hospital choice; maternal care; quality reporting (search for similar items in EconPapers)
JEL-codes: C25 D82 H51 I11 I18 (search for similar items in EconPapers)
Pages: 40 pages
Date: 2018-03
New Economics Papers: this item is included in nep-eur and nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (6)

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