2023
Selective referral or learning by doing? An analysis of hospital volume-outcome relationship of vascular procedures
ČERVENÝ, JakubZákladní údaje
Originální název
Selective referral or learning by doing? An analysis of hospital volume-outcome relationship of vascular procedures
Autoři
Vydání
HEALTH ECONOMICS, ENGLAND, WILEY, 2023, 1057-9230
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
50202 Applied Economics, Econometrics
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 2.000
Označené pro přenos do RIV
Ne
UT WoS
Klíčová slova anglicky
duration models; hospital choice; hospital volume-outcome
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 21. 1. 2025 09:04, Mgr. Alžběta Karolyiová
Anotace
V originále
This paper analyzes the effects of hospital volume on outcomes of patients undergoing percutaneous transluminal angioplasty (PTA) with stent implant in Slovakia between 2014 and 2019. The volume-outcome relationship is estimated jointly using a discrete factor approach, where choice of hospital is correlated with durations until readmission or death, accounting for observed and unobserved characteristics. The results reveal the importance of controlling for between-hospital differences and selectivity in patient referral. Estimates without hospital fixed effects overstate the positive effect of volume on outcomes, but the results remain statistically significant. Once selectivity is accounted for in the joint correlated model, the positive volume-outcome relationship is not different from zero. Overall, the main driver of the volume-outcome relationship for PTA procedures appears to be related to selective referral and differences in quality of health care providers.