Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/197269
Authors: 
Hentschker, Corinna
Mennicken, Roman
Reifferscheid, Antonius Sebastian
Wasem, Jürgen
Wübker, Ansgar
Year of Publication: 
2018
Citation: 
[Journal:] Health Economics Review [ISSN:] 2191-1991 [Volume:] 8 [Year:] 2018 [Issue:] 25 [Pages:] 1-14
Abstract: 
Background: This paper analyses the volume-outcome relationship and the effects of minimum volume regulations in the German hospital sector. Methods: We use a full sample of administrative data from the unselected, complete German hospital population for the years 2005 to 2007. We apply regression methods to analyze the association between volume and hospital quality. We measure hospital quality with a binary variable, which indicates whether the patient has died in hospital. Using simulation techniques we examine the impact of the minimum volume regulations on the accessibility of hospital services. Results: We find a highly significant negative relationship between case volume and mortality for complex interventions at the pancreas and oesophagus as well as for knee replacement. For liver, kidney and stem cell transplantation as well as for CABG we could not find a strong association between volume and quality. Access to hospital care is only moderately affected by minimum volume regulations. Conclusion: The effectiveness of minimum volume regulations depends on the type of intervention. Depending on the type of intervention, quality gains can be expected at the cost of slightly decreased access to care.
Subjects: 
Volume
Hospital quality
Mortality
Access to care
JEL: 
I12
I18
Persistent Identifier of the first edition: 
Creative Commons License: 
https://creativecommons.org/licenses/by/4.0/
Document Type: 
Article

Files in This Item:
File
Size





Items in EconStor are protected by copyright, with all rights reserved, unless otherwise indicated.