Publicação
Essays in health economics: volume-outcome effect, upcoding behaviour and the evaluation of a short-term intervention program
| datacite.subject.fos | Ciências Sociais::Economia e Gestão | pt_PT |
| dc.contributor.advisor | Barros, Pedro Pita | |
| dc.contributor.author | Braun, Gisele | |
| dc.date.accessioned | 2015-11-13T09:20:09Z | |
| dc.date.available | 2015-11-13T09:20:09Z | |
| dc.date.issued | 2014-01 | |
| dc.description.abstract | Evidence in the literature suggests a negative relationship between volume of medical procedures and mortality rates in the health care sector. In general, high-volume hospitals appear to achieve lower mortality rates, although considerable variation exists. However, most studies focus on US hospitals, which face different incentives than hospitals in a National Health Service (NHS). In order to add to the literature, this study aims to understand what happens in a NHS. Results reveal a statistically significant correlation between volume of procedures and better outcomes for the following medical procedures: cerebral infarction, respiratory infections, circulatory disorders with AMI, bowel procedures, cirrhosis, and hip and femur procedures. The effect is explained with the practice-makes-perfect hypothesis through static effects of scale with little evidence of learning-by-doing. The centralization of those medical procedures is recommended given that this policy would save a considerable number of lives (reduction of 12% in deaths for cerebral infarction). | pt_PT |
| dc.description.sponsorship | Fundação para a Ciência e a Tecnologia - FCT PTDC/ECO/71867/2006 and SFRH/BD/71799/2010 | pt_PT |
| dc.identifier.tid | 101386168 | |
| dc.identifier.uri | http://hdl.handle.net/10362/15820 | |
| dc.language.iso | eng | pt_PT |
| dc.title | Essays in health economics: volume-outcome effect, upcoding behaviour and the evaluation of a short-term intervention program | pt_PT |
| dc.type | doctoral thesis | |
| dspace.entity.type | Publication | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | doctoralThesis | pt_PT |
| thesis.degree.name | A PhD Dissertation, presented as part of the requirements for the Degree of Doctor of Philosophy from the NOVA - School of Business and Economics | pt_PT |