Tools

LEADER 03324cam 22004697a 4500

001 ssj0001360711;

003 WaSeSS;

005 20240412080346.0;

006 m d ;

007 cr n ;

008 050711s2005 mau sb 000 0 eng d;

010 a| 2005618405;

035 a| (WaSeSS)ssj0001360711;

040 a| DLCc| DLCd| WaSeSS;

049 a| EREEa| NEHH;

050 00 a| HB1;

100 1 a| Kessler, Daniel P.=| ^A532137;

245 10 a| Can ranking hospitals on the basis of patients' travel distances improve quality of care?h| [electronic resource] /c| Daniel P. Kessler.;

260 a| Cambridge, MA :b| National Bureau of Economic Research,;

490 1 a| NBER working paper series ;v| working paper 11419;

500 a| Title from PDF file as viewed on 7/11/2005.;

504 a| Includes bibliographical references.;

506 a| Available only to authorized users.;

520 3 a| "Conventional outcomes report cardsU? public disclosure of information about the patient-background-adjusted health outcomes of individual hospitals and physicians -- may help improve quality, but they may also encourage providers to "game" the system by avoiding sick and/or seeking healthy patients. In this paper, I propose an alternative approach: ranking hospitals on the basis of the travel distances of their Medicare patients. At least in theory, a distance report card could dominate conventional outcomes report cards: a distance report card might measure quality of care at least as well but suffer less from selection problems. I use data on elderly Medicare beneficiaries with heart attack and stroke from 1994 and 1999 to show that a distance report card would be both valid U? that is, correlated with true quality U? and able to distinguish confidently among hospitals U? that is, able to reject at conventional significance levels the hypothesis that the true quality of a low-ranked hospital was the same as the quality of the average hospital. The hypothetical distance report card I propose compares favorably to (although does not necessarily dominate) the California AMI outcomes report card"--National Bureau of Economic Research web site.;

530 a| Also available in print.;

538 a| Mode of access: World Wide Web;

650 0 a| Hospitalsx| Evaluation.=| ^A194;

650 0 a| Medicare.=| ^A6515;

650 0 a| Patients.=| ^A853;

650 0 a| Transportation.=| ^A26049;

655 0 a| Electronic books.=| ^A491897;

710 2 a| National Bureau of Economic Research.=| ^A186;

830 0 a| Working paper series (National Bureau of Economic Research : Online) ;v| working paper no. 11419.?| UNAUTHORIZED;

856 40 z| Full text available from NBER Working Papersu| https://go.openathens.net/redirector/ecu.edu?url=https%3A%2F%2Fdx.doi.org%2F10.3386%2Fw11419;

949 a| CLICK ON WEB ADDRESSw| ASISh| JOYNER188;

949 a| CLICK ON WEB ADDRESSw| ASISh| HSL77;

949 a| CLICK ON WEB ADDRESSw| ASISh| JMUSIC60;

596 a| 1 3 4;

998 a| 6165672;

999 a| CLICK ON WEB ADDRESSw| ASISc| 1i| 6165672-1001l| JNETm| JOYNERr| Ys| Yt| JNESSBKu| 7/15/2023x| EBOOKz| JERESOURCE;

999 a| CLICK ON WEB ADDRESSw| ASISc| 1i| 6165672-2001l| HSLELECm| HSLr| Ys| Yt| HEBKu| 7/15/2023x| EBOOKz| HERESOURCE;

999 a| CLICK ON WEB ADDRESSw| ASISc| 1i| 6165672-3001l| MNETm| JMUSICr| Ys| Yt| MNESSBKu| 7/15/2023x| EBOOKz| JERESOURCE;

Can ranking hospitals on the basis of patients' travel distances improve quality of care? / Daniel P. Kessler.

Author/creator	Kessler, Daniel P.
Other author	National Bureau of Economic Research.
Format	Electronic
Publication Info	Cambridge, MA : National Bureau of Economic Research,
Supplemental Content	Full text available from NBER Working Papers
Subjects	Hospitals--Evaluation. Medicare. Patients. Transportation.

Series	NBER working paper series ; working paper 11419 Working paper series (National Bureau of Economic Research : Online) ; working paper no. 11419. UNAUTHORIZED
Summary	"Conventional outcomes report cardsU? public disclosure of information about the patient-background-adjusted health outcomes of individual hospitals and physicians -- may help improve quality, but they may also encourage providers to "game" the system by avoiding sick and/or seeking healthy patients. In this paper, I propose an alternative approach: ranking hospitals on the basis of the travel distances of their Medicare patients. At least in theory, a distance report card could dominate conventional outcomes report cards: a distance report card might measure quality of care at least as well but suffer less from selection problems. I use data on elderly Medicare beneficiaries with heart attack and stroke from 1994 and 1999 to show that a distance report card would be both valid U? that is, correlated with true quality U? and able to distinguish confidently among hospitals U? that is, able to reject at conventional significance levels the hypothesis that the true quality of a low-ranked hospital was the same as the quality of the average hospital. The hypothetical distance report card I propose compares favorably to (although does not necessarily dominate) the California AMI outcomes report card"--National Bureau of Economic Research web site.
General note	Title from PDF file as viewed on 7/11/2005.
Bibliography note	Includes bibliographical references.
Access restriction	Available only to authorized users.
Other forms	Also available in print.
Technical details	Mode of access: World Wide Web
Genre/form	Electronic books.
LCCN	2005618405

Availability

Library	Location	Call Number	Status	Item Actions
	Electronic Resources	Access Content Online	✔ Available

Can ranking hospitals on the basis of patients' travel distances improve quality of care? / Daniel P. Kessler.

Click here for more information about this title

Availability