IDEAS home Printed from https://ideas.repec.org/a/cai/repdal/redp_294_0525.html
   My bibliography  Save this article

Healthcare Quality, Patients’ Satisfaction, and Hospital Incentives in France

Author

Listed:
  • Myriam Lescher
  • Nicolas Sirven

Abstract

Health Authorities in France recently produced and made publicly available a wide array of regularly updated hospital care quality measures (www.scopesante.fr). Economic theory applied to healthcare markets predicts that monitoring costs incurred by Health Authorities (the principal) to signal hospitals? (the agent) quality should create incentives for the latter to improve their Quality and Safety Indicators (QSIs). However, patients rarely refer to technical quality information to choose between hospitals. They are more prone to make use of subjective appraisals (such as word-of-mouth) of which patients? satisfaction is a proxy. Using a unique dataset of 2,323 hospitals in France, and overcoming sample selection issues, we found a strong and positive correlation between a standardized measure of patients? satisfaction (e-satis) and various measures of QSIs. Our results suggest that, since patients use a signal that carries information about quality, hospitals could be incited to increase healthcare quality. Codes JEL: I18, L25, C34

Suggested Citation

  • Myriam Lescher & Nicolas Sirven, 2019. "Healthcare Quality, Patients’ Satisfaction, and Hospital Incentives in France," Revue d'économie politique, Dalloz, vol. 129(4), pages 525-551.
    • Handle: RePEc:cai:repdal:redp_294_0525
    as

    Download full text from publisher

    File URL: http://www.cairn.info/load_pdf.php?ID_ARTICLE=REDP_294_0525
    Download Restriction: free
    File URL: http://www.cairn.info/revue-d-economie-politique-2019-4-page-525.htm
    Download Restriction: free
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Alibrandi, Angela & Gitto, Lara & Limosani, Michele & Mustica, Paolo Fabrizio, 2023. "Patient satisfaction and quality of hospital care," Evaluation and Program Planning, Elsevier, vol. 97(C).
    2. Alibrandi, Angela & Gitto, Lara & Limosani, Michele & Mustica, Paolo, 2020. "Improving health performances: To what extent patient satisfaction may influence quality?," MPRA Paper 105393, University Library of Munich, Germany.

    More about this item

    Keywords

    healthcare markets; hospital performance; quality and safety indicators; agency theory; signal quality;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L25 - Industrial Organization - - Firm Objectives, Organization, and Behavior - - - Firm Performance
    • C34 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Truncated and Censored Models; Switching Regression Models

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:cai:repdal:redp_294_0525. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Jean-Baptiste de Vathaire (email available below). General contact details of provider: https://www.cairn.info/revue-d-economie-politique.htm .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.