Returns to specialization: Evidence from the outpatient surgery market
| Autor: | Elizabeth L. Munnich, Stephen T. Parente |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty media_common.quotation_subject Outpatient surgery Hospital quality Medicare Ambulatory Care Facilities 03 medical and health sciences 0302 clinical medicine Specialization (functional) Humans Medicine 030212 general & internal medicine Aged Quality of Health Care media_common business.industry 030503 health policy & services Health Policy Surgical care Public Health Environmental and Occupational Health Payment United States Ambulatory Surgical Procedures Ambulatory Emergency medicine Female Lower cost 0305 other medical science business Specialization |
| Zdroj: | Journal of Health Economics. 57:147-167 |
| ISSN: | 0167-6296 |
| DOI: | 10.1016/j.jhealeco.2017.11.004 |
| Popis: | Technological changes in medicine have created new opportunities to provide surgical care in lower cost, specialized facilities. This paper examines patient outcomes in ambulatory surgery centers (ASCs), which were developed as a low-cost alternative to outpatient surgery in hospitals. Because we are concerned that selection into ASCs may bias estimates of facility quality, we use predicted changes in federally set Medicare facility payment rates as an instrument for ASC utilization to estimate the effect of location of treatment on patient outcomes. We find that patients treated in an ASC are less likely to be admitted to a hospital or visit an emergency room a short time after outpatient surgery. The findings in this paper indicate that factors other than patient and physician heterogeneity contribute to the observed returns to specialization in the ASC market. |
| Databáze: | OpenAIRE |
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