Consumer Response to Composite Ratings of Nursing Home Quality
Consumer Response to Composite Ratings of Nursing Home Quality
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DOI：
10.1162/ajhe_a_00115
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发表时间：
2019-04-01
影响因子：
3.7
通讯作者：
Werner, Rachel M.
中科院分区：
文献类型：
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作者：
Perraillon, Marcelo Coca;Konetzka, R. Tamara;Werner, Rachel M.
保健报告卡旨在解决信息不对称问题，使消费者能够选择质量更好的提供者。然而，信息的形式可能对消费者很重要。Nursing Home Compare是一家发布养老院报告卡的网站，从发布一系列指标到综合评级，养老院被分配到一到五颗星。我们评估是否简化评级激励消费者选择评级更好的养老院。我们使用回归不连续设计来估计新入学率的变化后六个月的评级公布。我们的主要研究结果表明，获得额外的星星的养老院获得更多的入院，异质性的影响取决于基线数量的星级。我们的结论是，质量报告的形式对消费者很重要，而且越来越多地使用综合评级可能会增加消费者的反应。
Health-care report cards are intended to address information asymmetries and enable consumers to choose providers of better quality. However, the form of the information may matter to consumers. Nursing Home Compare, a website that publishes report cards for nursing homes, went from publishing a large set of indicators to a composite rating in which nursing homes are assigned one to five stars. We evaluate whether the simplified ratings motivated consumers to choose better-rated nursing homes. We use a regression discontinuity design to estimate changes in new admissions six months after the publication of the ratings. Our main results show that nursing homes that obtained an additional star gained more admissions, with heterogeneous effects depending on baseline number of stars. We conclude that the form of quality reporting matters to consumers, and that the increased use of composite ratings is likely to increase consumer response.