医院拥挤有影响吗?来自英国创伤和骨科的证据

IF 5.6 1区经济学 Q1 ECONOMICS American Economic Journal-Economic Policy Pub Date : 2022-05-01 DOI:10.1257/pol.20180672

T. Hoe

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引用次数: 6

摘要

本文估计了医院拥挤对医疗决策和患者健康结果的影响。利用急诊入院的伪随机变异，我发现一个标准偏差的入院冲击会使计划外再入院率增加4.1%。非参数分析和异质性分析表明，“更快和更严重”的出院有助于额外的再入院。在床位较少、病人病情较重、接纳非急诊病人的动机更强的医院部门，拥挤的影响更大。(jel h51, i11, i12, i18)

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Does Hospital Crowding Matter? Evidence from Trauma and Orthopedics in England

This paper estimates the impact of hospital crowding on medical treatment decisions and patient health outcomes. Exploiting pseudorandom variation in emergency admissions, I find that a one-standard-deviation admission shock increases the unplanned readmission rate by 4.1 percent. Nonparametric and heterogeneity analyses suggest that “quicker and sicker” discharges contribute to the additional readmissions. The crowding impacts are larger in hospital departments with fewer beds, sicker patients, and stronger incentives to admit nonemergency patients. (JEL H51, I11, I12, I18)

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来源期刊

American Economic Journal-Economic Policy ECONOMICS-

CiteScore

8.20

自引率

1.90%

发文量

期刊介绍： The American Economic Review (AER) is a general-interest economics journal. The journal publishes 12 issues containing articles on a broad range of topics. Established in 1911, the AER is among the nation's oldest and most respected scholarly journals in economics. American Economic Journal: Economic Policy publishes papers covering a range of topics, the common theme being the role of economic policy in economic outcomes. Subject areas include public economics; urban and regional economics; public policy aspects of health, education, welfare and political institutions; law and economics; economic regulation; and environmental and natural resource economics.