Measuring the relative performance of providers of a health service

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dc.contributor.author Ackerberg, Daniel A.
dc.contributor.author Machado, Matilde P.
dc.contributor.author Riordan, Michael H.
dc.date.accessioned 2009-05-18T14:03:39Z
dc.date.available 2009-05-18T14:03:39Z
dc.date.issued 2001-07
dc.identifier.uri http://hdl.handle.net/10016/4237
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.language.iso eng
dc.publisher National Bureau of Economic Research
dc.relation.ispartofseries NBER Working Paper
dc.relation.ispartofseries 8385
dc.title Measuring the relative performance of providers of a health service
dc.type workingPaper
dc.relation.publisherversion http://www.nber.org/papers/w8385
dc.subject.eciencia Economía
dc.rights.accessRights openAccess
dc.type.version submitedVersion
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