Do report cards predict future quality? The case of skilled nursing facilities
Do report cards predict future quality? The case of skilled nursing facilities
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DOI：
10.1016/j.jhealeco.2019.05.008
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发表时间：
2019-07-01
影响因子：
3.5
通讯作者：
Rahman, Momotazur
中科院分区：
文献类型：
--
作者：
Cornell, Portia Y.;Grabowski, David C.;Rahman, Momotazur
供应商绩效报告卡旨在改善消费者决策并解决市场质量信息差距。然而，报告卡措施的风险调整不足往往会导致不同提供商之间的比较出现偏差。我们测试前往星级较高的专业护理机构 (SNF) 是否会为患者带来更好的治疗质量。我们利用患者居住地邮政编码与不同评级的 SNF 的距离随时间的变化来估计进入评级较高的 SNF 对医疗保健结果（包括死亡率）的因果影响。我们发现，接受评级较高的 SNF 的患者取得了更好的治疗效果，这支持了 SNF 报告卡评级的有效性。 (C) 2019 Elsevier B.V. 保留所有权利。
Report cards on provider performance are intended to improve consumer decision-making and address information gaps in the market for quality. However, inadequate risk adjustment of report-card measures often biases comparisons across providers. We test whether going to a skilled nursing facility (SNF) with a higher star rating leads to better quality outcomes for a patient. We exploit variation over time in the distance from a patient's residential ZIP code to SNFs with different ratings to estimate the causal effect of admission to a higher-rated SNF on health care outcomes, including mortality. We found that patients who go to higher-rated SNFs achieved better outcomes, supporting the validity of the SNF report card ratings. (C) 2019 Elsevier B.V. All rights reserved.