Does higher hospital cost imply higher quality of care?

Journal Article (Review;Journal)

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.

Full Text

Duke Authors

Cited Authors

  • Picone, GA; Sloan, FA; Chou, SY; Taylor, DH

Published Date

  • February 1, 2003

Published In

Volume / Issue

  • 85 / 1

Start / End Page

  • 51 - 62

International Standard Serial Number (ISSN)

  • 0034-6535

Digital Object Identifier (DOI)

  • 10.1162/003465303762687703

Citation Source

  • Scopus