期刊
JOURNAL OF HEALTH ECONOMICS
卷 66, 期 -, 页码 208-221出版社
ELSEVIER
DOI: 10.1016/j.jhealeco.2019.05.008
关键词
Skilled nursing facility; Star ratings; Instrumental variables; Nursing home quality of care; Post-acute care
资金
- National Institute on Aging [5P01AG027296-09]
- Advanced Fellowship from the Veterans Health Administration
Report cards on provider performance are intended to improve consumer decision-making and address information gaps in the market for quality. However, inadequate risk adjustment of report-card measures often biases comparisons across providers. We test whether going to a skilled nursing facility (SNF) with a higher star rating leads to better quality outcomes for a patient. We exploit variation over time in the distance from a patient's residential ZIP code to SNFs with different ratings to estimate the causal effect of admission to a higher-rated SNF on health care outcomes, including mortality. We found that patients who go to higher-rated SNFs achieved better outcomes, supporting the validity of the SNF report card ratings. (C) 2019 Elsevier B.V. All rights reserved.
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