Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector
The conventional wisdom for the health care sector is that idiosyncratic features leave little scope for market forces to allocate consumers to higher performance producers. However, we find robust evidence across several different conditions and performance measures that higher quality hospitals ha...
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American Economic Association
2018
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Online Access: | http://hdl.handle.net/1721.1/114040 https://orcid.org/0000-0002-9941-6684 |
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author | Chandra, Amitabh Finkelstein, Amy Sacarny, Adam Syverson, Chad |
author2 | Massachusetts Institute of Technology. Department of Economics |
author_facet | Massachusetts Institute of Technology. Department of Economics Chandra, Amitabh Finkelstein, Amy Sacarny, Adam Syverson, Chad |
author_sort | Chandra, Amitabh |
collection | MIT |
description | The conventional wisdom for the health care sector is that idiosyncratic features leave little scope for market forces to allocate consumers to higher performance producers. However, we find robust evidence across several different conditions and performance measures that higher quality hospitals have higher market shares and grow more over time. The relationship between performance and allocation is stronger among patients who have greater scope for hospital choice, suggesting that patient demand plays an important role in allocation. Our findings suggest that health care may have more in common with "traditional" sectors subject to market forces than often assumed. |
first_indexed | 2024-09-23T16:51:00Z |
format | Article |
id | mit-1721.1/114040 |
institution | Massachusetts Institute of Technology |
last_indexed | 2024-09-23T16:51:00Z |
publishDate | 2018 |
publisher | American Economic Association |
record_format | dspace |
spelling | mit-1721.1/1140402022-09-29T21:55:48Z Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector Chandra, Amitabh Finkelstein, Amy Sacarny, Adam Syverson, Chad Massachusetts Institute of Technology. Department of Economics Finkelstein, Amy The conventional wisdom for the health care sector is that idiosyncratic features leave little scope for market forces to allocate consumers to higher performance producers. However, we find robust evidence across several different conditions and performance measures that higher quality hospitals have higher market shares and grow more over time. The relationship between performance and allocation is stronger among patients who have greater scope for hospital choice, suggesting that patient demand plays an important role in allocation. Our findings suggest that health care may have more in common with "traditional" sectors subject to market forces than often assumed. National Institute on Aging (P01 AG005842) National Institute on Aging (P01 AG019783) National Institute on Aging (T32-AG000186) 2018-03-09T19:59:38Z 2018-03-09T19:59:38Z 2016-08 2018-02-21T18:39:23Z Article http://purl.org/eprint/type/JournalArticle 0002-8282 http://hdl.handle.net/1721.1/114040 Chandra, Amitabh, Amy Finkelstein, Adam Sacarny, and Chad Syverson. “Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector.” American Economic Review 106, no. 8 (August 2016): 2110–2144. © 2016 American Economic Association https://orcid.org/0000-0002-9941-6684 http://dx.doi.org/10.1257/AER.20151080 American Economic Review Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. application/pdf American Economic Association American Economic Association |
spellingShingle | Chandra, Amitabh Finkelstein, Amy Sacarny, Adam Syverson, Chad Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector |
title | Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector |
title_full | Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector |
title_fullStr | Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector |
title_full_unstemmed | Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector |
title_short | Health Care Exceptionalism? Performance and Allocation in the US Health Care Sector |
title_sort | health care exceptionalism performance and allocation in the us health care sector |
url | http://hdl.handle.net/1721.1/114040 https://orcid.org/0000-0002-9941-6684 |
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