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Subjective and objective quality and choice of hospital: Evidence from maternal care services in Germany

Avdic, Daniel, Moscelli, Giuseppe, Pilny, Adam and Sriubaite, Ieva (2019) Subjective and objective quality and choice of hospital: Evidence from maternal care services in Germany Journal of Health Economics, 68, 102229.

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Abstract

We study patient choice of healthcare provider based on both objective and subjective quality measures in the context of maternal care hospital services in Germany. Objective measures are obtained from publicly reported clinical indicators, while subjective measures are based on satisfaction scores from a large and nationwide patient survey. We merge both quality metrics to detailed hospital discharge records and quantify the additional distance expectant mothers are willing to travel to give birth in maternity clinics with higher reported quality. Our results reveal that patients are on average willing to travel 0.1–2.7 additional kilometers for a one standard deviation increase in quality. Patients respond to both objective and subjective quality measures, suggesting that patient satisfaction scores may constitute important complements to clinical indicators when choosing provider.

Item Type: Article
Divisions : Faculty of Arts and Social Sciences > School of Economics
Authors :
NameEmailORCID
Avdic, Daniel
Moscelli, Giuseppeg.moscelli@surrey.ac.uk
Pilny, Adam
Sriubaite, Ieva
Date : December 2019
DOI : 10.1016/j.jhealeco.2019.102229
Copyright Disclaimer : © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
Uncontrolled Keywords : Competition; Provider choice; Maternal care; Quality
Depositing User : Clive Harris
Date Deposited : 05 Sep 2019 08:15
Last Modified : 12 Dec 2019 14:46
URI: http://epubs.surrey.ac.uk/id/eprint/852552

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