Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/65672 
Full metadata record
DC FieldValueLanguage
dc.contributor.authorStargardt, Tomen
dc.contributor.authorSchreyögg, Jonasen
dc.contributor.authorKondofersky, Ivanen
dc.date.accessioned2012-10-29-
dc.date.accessioned2012-10-30T15:33:54Z-
dc.date.available2012-10-30T15:33:54Z-
dc.date.issued2012-
dc.identifier.urihttp://hdl.handle.net/10419/65672-
dc.description.abstractIn this paper, we propose a methodological approach to measure the relationship between hospital costs and health outcomes. We propose to investigate the relationship for each condition or disease area using patient-level data. We suggest to examine health outcomes as a function of costs and other patientlevel variables: (1) using two-stage residual inclusion with Murphy-Topel adjustment to address costs being endogenous to health outcomes, (2) using random-effects models in both stages to correct for correlation between observation, and (3) using Cox proportional hazard models in the second stage to ensure the available information is exploited. To demonstrate its application, data on mortality following hospital treatment for acute myocardial infarction (AMI) from a large German sickness was used. Provider reimbursement was used as a proxy for treatment costs. We relied on the Ontario Acute Myocardial Infarction Mortality Prediction Rules as a disease-specific risk-adjustment instrument. 12,284 patients with a treatment for AMI in 2004-2006 were included. Results showed a reduction in hospital costs by 100 to increase the hazard of dying, i.e. mortality, by 0.43%. The negative association between costs and mortality confirms that increased resource input leads to better outcomes for treatment after AMI.en
dc.language.isoengen
dc.publisher|aUniversity of Hamburg, Hamburg Center for Health Economics (HCHE) |cHamburgen
dc.relation.ispartofseries|aHCHE Research Paper |x2012/04en
dc.subject.ddc330en
dc.subject.keywordhospital costsen
dc.subject.keywordacute myocardial infarctionen
dc.subject.keywordtrade-offen
dc.subject.keywordreadmissionen
dc.subject.keywordmortalityen
dc.subject.stwHerzkrankheiten
dc.subject.stwKrankenhausen
dc.subject.stwGesundheitskostenen
dc.subject.stwSterblichkeiten
dc.subject.stwSchätzungen
dc.subject.stwDeutschlanden
dc.titleMeasuring the relationship between costs and outcomes: The example of Acute Myocardial Infarction in German hospitals-
dc.typeWorking Paperen
dc.identifier.ppn727585401en
dc.rightshttp://www.econstor.eu/dspace/Nutzungsbedingungenen
dc.identifier.repecRePEc:zbw:hcherp:201204en

Files in This Item:
File
Size





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