Modeling the effect of hospital charges and quality on choice.
The authors apply a conditional choice model to simulate the results of patient and physician choices of hospitals for a specific surgical procedure in response to improvements in quality or changes in charges. The model includes all zip code areas and relevant hospitals in a large metropolitan area and estimates the impact on admissions at each hospital. It can be used to estimate both the impact of decisions by a given hospital and the potential responses of competitors, as well as the effects of selective contracting with hospitals by certain payors.
Luft
H S
HS
Institute for Health Policy Studies, University of California, San Francisco.
Garnick
D W
DW
Phibbs
C S
CS
Peltzman
D J
DJ
Lichtenberg
E
E
McPhee
S J
SJ
D002755:Choice Behavior; D003258:Consumer Behavior / Q000191:economics* / Q000706:statistics & numerical data; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000191:economics / Q000592:standards; D003625:Data Collection; D005069:Evaluation Studies as Topic; D005249:Fees and Charges; D006761:Hospitals / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D015233:Models, Statistical; D011243:Preferred Provider Organizations / Q000191:economics; D011787:Quality of Health Care; D012495:San Francisco; D017062:Small-Area Analysis; D014195:Travel