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題名 Hospital Ownership and Performance: Evidence from Stroke and Cardiac Treatment in Taiwan
作者 Lien,Hsien-Ming; Chou,Shin-Yi; Liu,Jin-Tan
貢獻者 政大財政系
關鍵詞 Ownership;Quality of care;Instrumental variables;Propensity score matching
日期 2008-03
上傳時間 26-Aug-2013 16:10:47 (UTC+8)
摘要 This paper compares program expenditure and treatment quality of stroke and cardiac patients between 1997 and 2000 across hospitals of various ownership types in Taiwan. Because Taiwan implemented national health insurance in 1995, the analysis is immune from problems arising from the complex setting of the U.S. health care market, such as segmentation of insurance status or multiple payers. Because patients may select admitted hospitals based on their observed and unobserved characteristics, we employ instrument variable (IV) estimation to account for the endogeneity of ownership status. Results of IV estimation find that patients admitted to non-profit hospitals receive better quality care, either measured by 1- or 12-month mortality rates. In terms of treatment expenditure, our results indicate no difference between non-profits and for-profits index admission expenditures, and at most 10% higher long-term expenditure for patients admitted to non-profits than to for-profits.
關聯 Journal of Health Economics, 27, 1208-1223
資料類型 article
DOI http://dx.doi.org/http://dx.doi.org/10.1016/j.jhealeco.2008.03.002
dc.contributor 政大財政系en_US
dc.creator (作者) Lien,Hsien-Ming; Chou,Shin-Yi; Liu,Jin-Tanen_US
dc.date (日期) 2008-03en_US
dc.date.accessioned 26-Aug-2013 16:10:47 (UTC+8)-
dc.date.available 26-Aug-2013 16:10:47 (UTC+8)-
dc.date.issued (上傳時間) 26-Aug-2013 16:10:47 (UTC+8)-
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/59149-
dc.description.abstract (摘要) This paper compares program expenditure and treatment quality of stroke and cardiac patients between 1997 and 2000 across hospitals of various ownership types in Taiwan. Because Taiwan implemented national health insurance in 1995, the analysis is immune from problems arising from the complex setting of the U.S. health care market, such as segmentation of insurance status or multiple payers. Because patients may select admitted hospitals based on their observed and unobserved characteristics, we employ instrument variable (IV) estimation to account for the endogeneity of ownership status. Results of IV estimation find that patients admitted to non-profit hospitals receive better quality care, either measured by 1- or 12-month mortality rates. In terms of treatment expenditure, our results indicate no difference between non-profits and for-profits index admission expenditures, and at most 10% higher long-term expenditure for patients admitted to non-profits than to for-profits.en_US
dc.language.iso en_US-
dc.relation (關聯) Journal of Health Economics, 27, 1208-1223en_US
dc.subject (關鍵詞) Ownership;Quality of care;Instrumental variables;Propensity score matchingen_US
dc.title (題名) Hospital Ownership and Performance: Evidence from Stroke and Cardiac Treatment in Taiwanen_US
dc.type (資料類型) articleen
dc.identifier.doi (DOI) 10.1016/j.jhealeco.2008.03.002en_US
dc.doi.uri (DOI) http://dx.doi.org/http://dx.doi.org/10.1016/j.jhealeco.2008.03.002en_US