Does a hospital’s quality depend on the quality of other Hospitals? A spatial econometrics approach to investigating hospital quality competition

Research output: Working paperDiscussion paper

Standard

Does a hospital’s quality depend on the quality of other Hospitals? A spatial econometrics approach to investigating hospital quality competition. / Gravelle, Hugh Stanley Emrys; Santos, Rita; Siciliani, Luigi.

York, UK : Centre for Health Economics, University of York, 2013. (CHE Research Paper; No. 82).

Research output: Working paperDiscussion paper

Harvard

Gravelle, HSE, Santos, R & Siciliani, L 2013 'Does a hospital’s quality depend on the quality of other Hospitals? A spatial econometrics approach to investigating hospital quality competition' CHE Research Paper, no. 82, Centre for Health Economics, University of York, York, UK. <https://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP82_Hospital_competition_quality_spatial_econometrics.pdf>

APA

Gravelle, H. S. E., Santos, R., & Siciliani, L. (2013). Does a hospital’s quality depend on the quality of other Hospitals? A spatial econometrics approach to investigating hospital quality competition. (CHE Research Paper; No. 82). Centre for Health Economics, University of York. https://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP82_Hospital_competition_quality_spatial_econometrics.pdf

Vancouver

Gravelle HSE, Santos R, Siciliani L. Does a hospital’s quality depend on the quality of other Hospitals? A spatial econometrics approach to investigating hospital quality competition. York, UK: Centre for Health Economics, University of York. 2013 Jan. (CHE Research Paper; 82).

Author

Gravelle, Hugh Stanley Emrys ; Santos, Rita ; Siciliani, Luigi. / Does a hospital’s quality depend on the quality of other Hospitals? A spatial econometrics approach to investigating hospital quality competition. York, UK : Centre for Health Economics, University of York, 2013. (CHE Research Paper; 82).

Bibtex - Download

@techreport{47116c6da13c4e87a57601b3328e6bf4,
title = "Does a hospital{\textquoteright}s quality depend on the quality of other Hospitals? A spatial econometrics approach to investigating hospital quality competition",
abstract = "We examine whether a hospital{\textquoteright}s quality is affected by the quality provided by otherhospitals in the same market. We first set out a theoretical model with regulatedprices which specifies conditions on demand and cost functions which determinewhether a hospital will have higher quality when its rivals have higher quality. Wethen apply spatial econometric methods to a sample of English hospitals in 2009-10 and a set of 16 quality measures including mortality rates, readmission, revision and redo rates and three patient reported indicators to examine to examine the relationship between the quality of hospitals. We find that a hospital{\textquoteright}s quality is positively associated with the quality of its rivals for seven out of the sixteen quality measures and that in no case is there a negative association. In those cases where there is a positive association, an increase in rivals{\textquoteright} quality by 10% increases a hospital{\textquoteright}s quality by 1.7% to 2.9%",
keywords = "Quality, regulated prices, hospitals, competition, spatial econometrics",
author = "Gravelle, {Hugh Stanley Emrys} and Rita Santos and Luigi Siciliani",
year = "2013",
month = jan,
language = "English",
series = "CHE Research Paper",
publisher = "Centre for Health Economics, University of York",
number = "82",
type = "WorkingPaper",
institution = "Centre for Health Economics, University of York",

}

RIS (suitable for import to EndNote) - Download

TY - UNPB

T1 - Does a hospital’s quality depend on the quality of other Hospitals? A spatial econometrics approach to investigating hospital quality competition

AU - Gravelle, Hugh Stanley Emrys

AU - Santos, Rita

AU - Siciliani, Luigi

PY - 2013/1

Y1 - 2013/1

N2 - We examine whether a hospital’s quality is affected by the quality provided by otherhospitals in the same market. We first set out a theoretical model with regulatedprices which specifies conditions on demand and cost functions which determinewhether a hospital will have higher quality when its rivals have higher quality. Wethen apply spatial econometric methods to a sample of English hospitals in 2009-10 and a set of 16 quality measures including mortality rates, readmission, revision and redo rates and three patient reported indicators to examine to examine the relationship between the quality of hospitals. We find that a hospital’s quality is positively associated with the quality of its rivals for seven out of the sixteen quality measures and that in no case is there a negative association. In those cases where there is a positive association, an increase in rivals’ quality by 10% increases a hospital’s quality by 1.7% to 2.9%

AB - We examine whether a hospital’s quality is affected by the quality provided by otherhospitals in the same market. We first set out a theoretical model with regulatedprices which specifies conditions on demand and cost functions which determinewhether a hospital will have higher quality when its rivals have higher quality. Wethen apply spatial econometric methods to a sample of English hospitals in 2009-10 and a set of 16 quality measures including mortality rates, readmission, revision and redo rates and three patient reported indicators to examine to examine the relationship between the quality of hospitals. We find that a hospital’s quality is positively associated with the quality of its rivals for seven out of the sixteen quality measures and that in no case is there a negative association. In those cases where there is a positive association, an increase in rivals’ quality by 10% increases a hospital’s quality by 1.7% to 2.9%

KW - Quality

KW - regulated prices

KW - hospitals

KW - competition

KW - spatial econometrics

M3 - Discussion paper

T3 - CHE Research Paper

BT - Does a hospital’s quality depend on the quality of other Hospitals? A spatial econometrics approach to investigating hospital quality competition

PB - Centre for Health Economics, University of York

CY - York, UK

ER -