Innovative procedures: the key factor for hospital performance

Laurent Gobillon (1, 2, 3, 4, 5) , Carine Milcent (2, 3)

1 INED - Institut national d'études démographiques
2 PSE - Paris School of Economics
3 PSE - Paris-Jourdan Sciences Economiques
4 CEPR - Center for Economic Policy Research
5 CREST - Centre de Recherche en Économie et Statistique

The role of innovative procedures in the mortality differences between university, non-teaching public and for-profit hospitals is investigated using a French exhaustive administrative dataset on patients admitted for heart attack. Mortality is roughly similar in the three types of hospitals after controlling for case-mix. For-profit hospitals treat the at-risk oldest patients more often with innovative procedures. Therefore, additionnally controlling for innovative procedures makes them having the highest mortality rate. Non-teaching public hospitals end up having the lowest mortality rate.

Mots clés: Hospital performance; Innovative procedures; Stratified duration model

Domaines: Economies et finances

Laurent Gobillon, Carine Milcent. Innovative procedures: the key factor for hospital performance. 2011. ⟨halshs-00653441⟩