Erasmus School of Health Policy and Management & Erasmus School of Economics, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Health Econ. 2023 Oct;32(10):2298-2321. doi: 10.1002/hec.4727. Epub 2023 Jul 5.
We study the link between department-wide surgeon supply and quality of care for two major elective medical procedures. Several countries have adopted policies to concentrate medical procedures in high-volume hospitals. While higher patient volumes might translate to higher quality, we provide evidence for a positive relationship between surgeon supply and hospital revision rates for hip and knee replacement surgery. Hence, hospital performance decreases with higher surgeon supply, and this finding holds conditional on patient volumes.
我们研究了科室范围内外科医生供应与两种主要择期医疗程序的护理质量之间的联系。一些国家已经采取了集中医疗程序在高容量医院的政策。虽然更高的患者量可能转化为更高的质量，但我们为髋关节和膝关节置换手术的外科医生供应与医院修正率之间的正相关关系提供了证据。因此，随着外科医生供应的增加，医院的绩效下降，这一发现在考虑了患者量的情况下仍然成立。
