Measuring the relative performance of providers of a health service

Ackerberg, Daniel A.; Machado, Matilde P.; Riordan, Michael H.

Publication:
Measuring the relative performance of providers of a health service

dc.affiliation.dpto	UC3M. Departamento de Economía	es
dc.contributor.author	Ackerberg, Daniel A.
dc.contributor.author	Machado, Matilde P.
dc.contributor.author	Riordan, Michael H.
dc.contributor.other	Columbia University, Department of Economics
dc.date.accessioned	2012-08-30T16:34:28Z
dc.date.available	2012-08-30T16:34:28Z
dc.date.issued	2002-02
dc.description.abstract	A methodology is developed and applied to compare the performance of publicly funded agencies providing treatment for alcohol abuse in Maine. The methodology estimates a Wiener process that determines the duration of completed treatments, while allowing for agency differences in the effectiveness of treatment, standards for completion of treatment, patient attrition, and the characteristics of patient populations. Notably, the Wiener process model separately identifies agency fixed effects that describe differences in the effectiveness of treatment ('treatment effects'), and effects that describe differences in the unobservable characteristics of patients ('population effects'). The estimated model enables hypothetical comparisons of how different agencies would treat the same populations. The policy experiment of transferring the treatment practices of more cost effective agencies suggests that Maine could have significantly reduced treatment costs without compromising health outcomes by identifying and transferring best practices.
dc.format.mimetype	application/pdf
dc.identifier.uri	https://hdl.handle.net/10016/15162
dc.language.iso	eng
dc.relation.ispartofseries	Columbia University, Department of Economics, Discussion paper series
dc.relation.ispartofseries	0102-12
dc.relation.publisherversion	http://hdl.handle.net/10016/15162
dc.rights	Atribución-NoComercial-SinDerivadas 3.0 España
dc.rights.accessRights	open access
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.subject.eciencia	Economía
dc.subject.jel	L22
dc.subject.jel	I11
dc.subject.jel	L11
dc.subject.other	Economic theory
dc.subject.other	Public health
dc.title	Measuring the relative performance of providers of a health service
dc.type	working paper	*
dc.type.hasVersion	SMUR	*
dspace.entity.type	Publication