Hospital consolidation and costs: another look at the evidence
Hospital consolidation and costs: another look at the evidence
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DOI：
10.1016/j.jhealeco.2003.05.001
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发表时间：
2003-11-01
影响因子：
3.5
通讯作者：
Lindrooth, R
中科院分区：
文献类型：
--
作者：
Dranove, D;Lindrooth, R
我们调查是否成对医院合并导致成本节约。我们使用统一的实证方法来评估系统和合并。我们的比较组为每个合并包括10个'伪合并'的基础上选择的倾向得分。成本函数估计表明，整合到系统中不会产生节省，即使在4年后。医院合并财务报告和许可证的合并在合并后的2年、3年和4年内节省了约14%的成本。系统整合和合并结果对规范和样本的变化非常稳健。(C)2003 Elsevier B.V.保留所有权利。
We investigate whether pairwise hospital consolidation leads to cost savings. We use a unified empirical methodology to assess both systems and mergers. Our comparison group for each consolidation consists of 10 'pseudo-mergers' chosen based on propensity scores. Cost function estimates reveal that consolidation into systems does not generate savings, even after 4 years. Mergers in which hospitals consolidate financial reporting and licenses generate savings of approximately 14%: 2, 3, and 4 years after merger. The system consolidation and merger results are very robust to changes in the specification and the sample. (C) 2003 Elsevier B.V. All rights reserved.