Rachet Jacquet, Laurie, Gutacker, Nils orcid.org/0000-0002-2833-0621 and Siciliani, Luigi orcid.org/0000-0003-1739-7289 (2019) The causal effect of hospital volume on health gains from hip replacement surgery. Discussion Paper. CHE Research Paper . Centre for Health Economics, University of York , York, UK.
Abstract
This study investigates the causal effect of hospital volume on health gains from hip replacement surgery in the English National Health Service. We exploit a unique dataset, which links routine hospital records and patient-reported outcome measures (PROMs) for all public hospitals in England. PROMs assess patients’ health along key dimensions of pain and mobility shortly before and six months after the surgery. We investigate whether higher hospital volume increases patient health six months post-surgery, conditioning on pre-surgery health and other patient medical and socioeconomic indicators. We address possible reverse-causality bias due to hospital demand being responsive to quality by constructing a measure of predicted hospital volumes based on a patient choice model. The results suggest that the observed volume-outcome effect in hip replacement surgery is clinically small and no longer statistically significant once we account for the endogeneity of volume.
Metadata
Item Type: | Monograph |
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Authors/Creators: |
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Keywords: | quality,hospital,volumes,learning-by-doing,patient reported outcomes |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Economics and Related Studies (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) > CHE Research Papers (York) |
Depositing User: | Pure (York) |
Date Deposited: | 30 Aug 2019 16:30 |
Last Modified: | 04 Feb 2025 00:02 |
Status: | Published |
Publisher: | Centre for Health Economics, University of York |
Series Name: | CHE Research Paper |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:149909 |
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