Hospital Quality and Demand: An Analysis of German Hospitals Using Distance-Metric Approach

Öz

In this paper, we estimate an aggregate demand model for German hospitals using various quality measures extracted from mandatory quality reports. In doing so, we adopt the Distance-Metric approach. The estimates suggest that demand in obstetrics field is responsive to some measures of clinical quality. Finally, the results indicate weak spillovers in hospital demand arising from the clinical quality of closer competitors

Anahtar Kelimeler

• Health care market, quality competition, distance metric, Germany

Hastane Kalitesi ve Talep: Mesafe-Metriği Yaklaşımıyla Alman Hastanelerinin Bir Analizi

Öz

Bu makalede, zorunlu olarak yayımlanan kalite raporlarından elde edilen çeşitli kalite ölçüleri kullanılarak, Alman hastaneleri için bir toplam talep modeli tahmin edilmiştir. Bu tahmin yapılırken, Mesafe-Metriği yaklaşımı benimsenmiştir. Sonuçlara göre, kadın doğum alanında talep, bazı klinik kalite ölçülerine karşı duyarlıdır. Son olarak ampirik sonuçlar hastane talebinde, yakınlardaki rakip hastanelerin klinik kalitesinden ortaya çıkan zayıf taşma etkilerine işaret etmektedir

Anahtar Kelimeler

• Sağlık hizmetleri piyasası, kalite rekabeti, mesafe metriği, Almanya

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