For some considerable time now the interface between ambulatory and hospital care has been mooted as a cause of inefficiencies in the German health system and there have been calls for a softening of the strict separation between the two sectors. This debate emphasizes the need for detailed...

This paper investigates the relationship between health outcomes and variations in staffing levels as approximated by admissions on weekdays versus admissions on weekends. Because days of admission are potentially endogenous, we instrument on emergency admissions only, which are reasonably...

In times of peak demand hospitals may fail to deliver the high standard of treatment quality that they are able to offer their patients at regular times. To assess the magnitude of these effects, this study analyzes the effects of low staff-to-patients ratios on patient outcomes empirically. We...

Eine stärkere Ambulantisierung der Versorgung wird politisch angestrebt. In der Konsequenz werden Leistungsbereiche zukünftig zunehmend "sektorenübergreifend" sowohl von Krankenhäusern als auch von Vertragsärzten und medizinischen Versorgungszentren (MVZ) erbracht. Damit stellt sich die...