Does higher hospital cost imply higher quality of care?
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2003-02-01
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This study investigates whether higher input use per stay in the hospital (treatment intensity) and longer length of stay improve outcomes of care. We allow for endogeneity of intensity and length of stay by estimating a quasi-maximum-likelihood discrete factor model, where the distribution of the unmeasured variable is modeled using a discrete distribution. Data on elderly persons come from several waves of the National Long-Term Care Survey merged with Medicare claims data for 1984-1995 and the National Death Index. We find that higher intensity improves patient survival and some dimensions of functional status among those who survive.
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Picone, GA, FA Sloan, SY Chou and DH Taylor (2003). Does higher hospital cost imply higher quality of care?. Review of Economics and Statistics, 85(1). pp. 51–62. 10.1162/003465303762687703 Retrieved from https://hdl.handle.net/10161/2122.
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Frank A. Sloan
Professor Sloan is interested in studying the subjects of health policy and the economics of aging, hospitals, health, pharmaceuticals, and substance abuse. He has received funding from numerous research grants that he earned for studies of which he was the principal investigator. His most recent grants were awarded by the Robert Wood Johnson Foundation, the Center for Disease Control, the Pew Charitable Trust, and the National Institute on Aging. Titles of his projects include, “Why Mature Smokers Do Not Quit,” “Legal and Economic Vulnerabilities of the Master Settlement Agreement,” “Determinants and Cost of Alcohol Abuse Among the Elderly and Near-elderly,” and “Reinsurance Markets and Public Policy.” He received the Investigator Award for his work on the project, “Reoccurring Crises in Medical Malpractice.” Some of his earlier works include the studies entitled, “Policies to Attract Nurses to Underserved Areas,” “The Impact of National Economic Conditions on the Health Care of the Poor-Access,” and “Analysis of Physician Price and Output Decisions.” Professor Sloan’s latest research continues to investigate the trends and repercussions of medical malpractice, physician behavior, and hospital behavior.
Donald H. Taylor
Don Taylor is a health policy scholar who has studied rural health, identification of underserved areas, and the economics of smoking and cessation. For the past 20 years his work has focused on how society cares for the elderly and to what effect on individuals, families, public programs and inter-generational wealth. More recently he has focused on archival research methods that help to illustrate the role of Race in our history—individual, institutional, national. An emerging interest is consideration of how visual art and fiction might be more effective at making inequality of various types unacceptable culturally in a way that is more effective than data based and more traditional public policy-based appeals. All three of his degrees (Ph.D., Public Health, Health Policy and Management, 1995) are from the University of North Carolina at Chapel Hill. Taylor serves as the Director of the Social Science Research Institute (since 2019) and served two years as the elected leader of the Duke Faculty in the role of the Chair of the Academic Council (2017-19).
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