Healthcare Quality by Specialists under a Mixed Compensation System: an Empirical Analysis
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arXiv
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| Hauptverfasser: | , , |
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| Format: | Preprint |
| Veröffentlicht: |
2024
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| _version_ | 1866916117544435712 |
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| author | Echevin, Damien Fortin, Bernard Houndetoungan, Aristide |
| author_facet | Echevin, Damien Fortin, Bernard Houndetoungan, Aristide |
| contents | We analyze the effects of a mixed compensation (MC) scheme for specialists on the quality of their healthcare services. We exploit a reform implemented in Quebec (Canada) in 1999. The government introduced a payment mechanism combining a per diem with a reduced fee per clinical service. Using a large patient/physician panel dataset, we estimate a multi-state multi-spell hazard model analogous to a difference-in-differences approach. We compute quality indicators from our model. Our results suggest that the reform reduced the quality of MC specialist services measured by the risk of re-hospitalization and mortality after discharge. These effects vary across specialties. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2402_04472 |
| institution | arXiv |
| publishDate | 2024 |
| record_format | arxiv |
| spellingShingle | Healthcare Quality by Specialists under a Mixed Compensation System: an Empirical Analysis Echevin, Damien Fortin, Bernard Houndetoungan, Aristide General Economics Economics We analyze the effects of a mixed compensation (MC) scheme for specialists on the quality of their healthcare services. We exploit a reform implemented in Quebec (Canada) in 1999. The government introduced a payment mechanism combining a per diem with a reduced fee per clinical service. Using a large patient/physician panel dataset, we estimate a multi-state multi-spell hazard model analogous to a difference-in-differences approach. We compute quality indicators from our model. Our results suggest that the reform reduced the quality of MC specialist services measured by the risk of re-hospitalization and mortality after discharge. These effects vary across specialties. |
| title | Healthcare Quality by Specialists under a Mixed Compensation System: an Empirical Analysis |
| topic | General Economics Economics |
| url | https://arxiv.org/abs/2402.04472 |