Estimating returns to hospital volume: Evidence from advanced cancer surgery |
| |
| Institution: | 1. University of Duisburg-Essen, Germany;2. CINCH-Essen, Germany;3. Department of Economics, Lund University, Sweden;4. IZA-Bonn,Germany;5. IFAU-Uppsala, Sweden;6. UCLS-Uppsala University, Sweden;1. School of Business and Economics, University of Jyväskylä, PO Box 35, FI-40014, Finland;2. Social Insurance Institution of Finland, Finland;1. Federal Joint Committee, Medical Consultancy Department, Wegelystraße 8, D-10623, Berlin, Germany;2. Federal Joint Committee, Medical Consultancy Department, Germany;3. Federal Joint Committee Quality, Assurance and Cross-sectoral Healthcare Department, Germany;1. Department of Economics and Business, CRENoS - Università di Cagliari, Via S. Ignazio 17, 09123, Cagliari, Italy;2. INPS (National Institute of Social Security), Italy;1. Cleveland Comprehensive Hernia Center, Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA;2. Department of Surgery, Oregon Health & Science University, Portland, OR, USA |
| |
| Abstract: | High-volume hospitals typically perform better than low-volume hospitals. In this paper, we study whether such patterns reflect a causal effect of case volume on patient outcomes. To this end, we exploit closures and openings of entire cancer clinics in Swedish hospitals which provides sharp and arguably exogenous variation in case volumes. Using detailed register data on more than 100,000 treatment episodes of advanced cancer surgery, our results suggest substantial positive effects of operation volume on survival. Complementary analyses point to learning-by-doing as an important explanation. |
| |
| Keywords: | Hospital case volume Learning-by-doing Cancer surgery Survival Causal effect |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
