TY - JOUR
T1 - Start spreading the news
T2 - A structural estimate of the effects of New York hospital report cards
AU - Dranove, David Stuart
AU - Sfekas, Andrew
PY - 2008/9/1
Y1 - 2008/9/1
N2 - Research on the effects of publicly reported hospital quality report cards on patient market shares is mixed. Higher-ranking hospitals do not consistently experience increases in market share. We argue that this may be because the report cards do not always convey "news" about quality; in some cases the rankings conform with prior beliefs about quality. We develop a structural model of the "news" in report cards and estimate the model using data from New York State in 1989-1991. We show hospitals with negative news in the original 1990 report cards experienced a decrease in market share, but that a misspecified model might continue to find no report card effect.
AB - Research on the effects of publicly reported hospital quality report cards on patient market shares is mixed. Higher-ranking hospitals do not consistently experience increases in market share. We argue that this may be because the report cards do not always convey "news" about quality; in some cases the rankings conform with prior beliefs about quality. We develop a structural model of the "news" in report cards and estimate the model using data from New York State in 1989-1991. We show hospitals with negative news in the original 1990 report cards experienced a decrease in market share, but that a misspecified model might continue to find no report card effect.
KW - Hospitals
KW - Report cards
UR - http://www.scopus.com/inward/record.url?scp=50249116122&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=50249116122&partnerID=8YFLogxK
U2 - 10.1016/j.jhealeco.2008.03.001
DO - 10.1016/j.jhealeco.2008.03.001
M3 - Article
C2 - 18420293
AN - SCOPUS:50249116122
VL - 27
SP - 1201
EP - 1207
JO - Journal of Health Economics
JF - Journal of Health Economics
SN - 0167-6296
IS - 5
ER -