Do markets respond to quality information? The case of fertility clinics

被引:64
作者
Bundorf, M. Kate [1 ,2 ]
Chun, Natalie
Goda, Gopi Shah [3 ]
Kessler, Daniel P. [1 ,2 ,4 ]
机构
[1] Stanford Univ, Grad Sch Business, Stanford, CA 94305 USA
[2] NBER, Stanford, CA 94305 USA
[3] Harvard Univ, Cambridge, MA 02138 USA
[4] Stanford Univ, Hoover Inst, Stanford, CA 94305 USA
关键词
Report cards; Information; Quality; Infertility; IN-VITRO FERTILIZATION; PLAN REPORT CARDS; NEW-YORK-STATE; CONSUMER CHOICE; HEALTH; SURGERY; DIFFERENCE; OUTCOMES; MODELS; IMPACT;
D O I
10.1016/j.jhealeco.2009.01.001
中图分类号
F [经济];
学科分类号
020101 [政治经济学];
摘要
Although policymakers have increasingly turned to provider report cards as a tool to improve health care quality, existing studies provide mixed evidence on whether they influence Consumer choices. We examine the effects of providing consumers with quality information in the context of fertility clinics providing Assisted Reproductive Therapies (ART). We report three main findings. First, clinics with higher birth rates had larger market shares after the adoption of report cards relative to before. Second, clinics with a disproportionate share of young, relatively easy-to-treat patients had lower market shares after adoption versus before. This Suggests that consumers take into account information On patient mix when evaluating clinic outcomes. Third, report cards had larger effects on consumers and clinics from states with ART insurance coverage mandates. We Conclude that consumers respond to quality report cards when choosing among providers of ART. (C) 2009 Elsevier B.V. All rights reserved.
引用
收藏
页码:718 / 727
页数:10
相关论文
共 33 条
[1]
[Anonymous], 1997, 1995 ASS REPR TECHN
[2]
[Anonymous], 2005, Annual summary, P1
[3]
Quality information and consumer health plan choices [J].
Beaulieu, ND .
JOURNAL OF HEALTH ECONOMICS, 2002, 21 (01) :43-63
[4]
ESTIMATING DISCRETE-CHOICE MODELS OF PRODUCT DIFFERENTIATION [J].
BERRY, ST .
RAND JOURNAL OF ECONOMICS, 1994, 25 (02) :242-262
[5]
Health disparities and infertility: impacts of state-level insurance mandates [J].
Bitler, M ;
Schmidt, L .
FERTILITY AND STERILITY, 2006, 85 (04) :858-865
[6]
BLACKWELL RE, 1987, FERTIL STERIL, V48, P735
[7]
BUNDORF MK, 2008, NBER WORKING PAPER S, P32
[8]
BUNDORF MK, 2007, MANDATED HTLH INSURA
[9]
BUNDORF MK, 2006, DOES VOLUNTARY 3 PAR