QUALITY-ADJUSTED COST-FUNCTIONS AND POLICY EVALUATION IN THE NURSING-HOME INDUSTRY
QUALITY-ADJUSTED COST-FUNCTIONS AND POLICY EVALUATION IN THE NURSING-HOME INDUSTRY
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DOI：
10.1086/261859
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发表时间：
1992-12-01
影响因子：
8.2
通讯作者：
WALDMAN, DM
中科院分区：
文献类型：
--
作者：
GERTLER, PJ;WALDMAN, DM
对管制政策中固有的成本-质量权衡的适当评价需要从质量对政策变化的行为反应中确定生产结构。然而，由于测量问题和数据的可获得性，估计具有内生质量的生产结构是困难的。我们开发了一种简单的方法来识别和估计存在内生和未观察到的质量的成本函数。使用这种方法，我们估计，质量调整的成本函数养老院将质量作为外生产出严重误导边际成本和规模经济的估计。然后，我们使用参数估计来评估疗养院监管政策的成本-质量权衡。
Proper evaluation of cost-quality trade-offs inherent in regulatory policy requires identifying the structure of production from the behavioral response of quality to the policy change. However, estimating the structure of production with endogenous quality is difficult because of both measurement problems and data availability. We develop a simple method for identifying and estimating cost functions in the presence of endogenous and unobserved quality. Using this method, we estimate that a quality-adjusted cost function for nursing homes treating quality as exogenous yields seriously mis-leading estimates of marginal cost and economies of scale. We then used the parameter estimates to evaluate the cost-quality trade-off in nursing home regulatory policy.