Do markets respond to quality information? The case of fertility clinics
Do markets respond to quality information? The case of fertility clinics
复制标题
DOI：
10.1016/j.jhealeco.2009.01.001
复制
发表时间：
2009-05-01
影响因子：
3.5
通讯作者：
Kessler, Daniel P.
中科院分区：
文献类型：
--
作者：
Bundorf, M. Kate;Chun, Natalie;Kessler, Daniel P.
尽管政策制定者越来越多地将提供者成绩单作为提高医疗保健质量的工具，但现有的研究提供了关于它们是否影响消费者选择的混合证据。我们考察了在提供辅助生殖疗法(ART)的生育诊所的背景下向消费者提供高质量信息的效果。我们报告了三个主要发现。首先，与采用成绩单之前相比，出生率较高的诊所在采用成绩单后拥有更大的市场份额。其次，年轻、相对容易治疗的患者所占比例不成比例的诊所在采用后的市场份额低于采用前。这表明消费者在评估临床结果时会考虑患者组合的信息。第三，成绩单对拥有艺术品保险覆盖范围的州的消费者和诊所有更大的影响。我们的结论是，消费者在选择ART供应商时会对质量成绩单做出反应。(C)2009爱思唯尔B.V.保留所有权利。
Although policymakers have increasingly turned to provider report cards as a tool to improve health care quality, existing studies provide mixed evidence on whether they influence Consumer choices. We examine the effects of providing consumers with quality information in the context of fertility clinics providing Assisted Reproductive Therapies (ART). We report three main findings. First, clinics with higher birth rates had larger market shares after the adoption of report cards relative to before. Second, clinics with a disproportionate share of young, relatively easy-to-treat patients had lower market shares after adoption versus before. This Suggests that consumers take into account information On patient mix when evaluating clinic outcomes. Third, report cards had larger effects on consumers and clinics from states with ART insurance coverage mandates. We Conclude that consumers respond to quality report cards when choosing among providers of ART. (C) 2009 Elsevier B.V. All rights reserved.