The Role of Hospital Heterogeneity in Measuring Marginal Returns to Medical Care: A Reply to Barreca, Guldi, Lindo, and Waddell
In , we describe how marginal returns to medical care can be estimated by comparing patients on either side of diagnostic thresholds. Our application examines at-risk newborns near the very low birth weight threshold at 1500 g. We estimate large discontinuities in medical care and mortality at this threshold, with effects concentrated at "low-quality" hospitals. Although our preferred estimates retain newborns near the threshold, when they are excluded the estimated marginal returns decline, although they remain large. In low-quality hospitals, our estimates are similar in magnitude regardless of whether these newborns are included or excluded. Copyright 2011, Oxford University Press.
Year of publication: |
2011
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Authors: | Almond, Douglas ; Doyle, Joseph J. ; Kowalski, Amanda E. ; Williams, Heidi |
Published in: |
The Quarterly Journal of Economics. - Oxford University Press, ISSN 1531-4650. - Vol. 126.2011, 4, p. 2125-2131
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Publisher: |
Oxford University Press |
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