IDEAS home Printed from https://ideas.repec.org/p/zbw/rwimat/101.html
   My bibliography  Save this paper

Der kausale Zusammenhang zwischen Zahl der Fälle und Behandlungsqualität in der Krankenhausversorgung

Author

Listed:
  • Hentschker, Corinna
  • Mennicken, Roman
  • Reifferscheid, Antonius
  • Thomas, Dominik
  • Wasem, Jürgen
  • Wübker, Ansgar

Abstract

Im letzten Jahrzehnt hat sich die Gesundheitspolitik intensiv mit verschiedenen gesetzlichen Möglichkeiten zur Sicherung und Verbesserung der Versorgungsqualität im stationären Sektor auseinandergesetzt. In diesem Kontext ist die Einführung der Mindestmengen-Regelung in Deutschland zu sehen. Zu Beginn des Jahres 2004 wurden zunächst für fünf Indikationen (Leber-, Nieren- und Stammzelltransplantationen sowie komplexe Eingriffe an Ösophagus und Pankreas) spezifische Fallzahlgrenzen definiert. Später folgten Mindestmengen für Kniegelenkstotalendoprothesen und Frühgeborene mit geringem Geburtsgewicht. Wird von einem Krankenhaus die geforderte Fallzahl nicht erreicht, darf es im nächsten Jahr diese Leistung nicht weiter erbringen. In dieser Arbeit wird der Volume-Outcome-Zusammenhang (Zusammenhang von Qualität und Fallzahlen) bei den jeweiligen Mindestmengen-Indikationen umfassend untersucht. Darüber hinaus werden Erreichbarkeitsanalysen durchgeführt, die einerseits den bisherigen Zugang zu den relevanten Krankenhäusern darstellen sowie andererseits explizite Modellierung von Krankenhausschließungen als Konsequenz der Umsetzung der Mindestmengenregelung in unterschiedlichen Szenarien vorsehen.

Suggested Citation

  • Hentschker, Corinna & Mennicken, Roman & Reifferscheid, Antonius & Thomas, Dominik & Wasem, Jürgen & Wübker, Ansgar, 2016. "Der kausale Zusammenhang zwischen Zahl der Fälle und Behandlungsqualität in der Krankenhausversorgung," RWI Materialien 101, RWI - Leibniz-Institut für Wirtschaftsforschung.
  • Handle: RePEc:zbw:rwimat:101
    as

    Download full text from publisher

    File URL: https://www.econstor.eu/bitstream/10419/130747/1/857683829.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Stock, James H & Wright, Jonathan H & Yogo, Motohiro, 2002. "A Survey of Weak Instruments and Weak Identification in Generalized Method of Moments," Journal of Business & Economic Statistics, American Statistical Association, vol. 20(4), pages 518-529, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hillebrand, Eric & Schnabl, Gunther & Ulu, Yasemin, 2009. "Japanese foreign exchange intervention and the yen-to-dollar exchange rate: A simultaneous equations approach using realized volatility," Journal of International Financial Markets, Institutions and Money, Elsevier, vol. 19(3), pages 490-505, July.
    2. Cho, Seo-young & Vadlamannati, Krishna Chaitanya, 2010. "Compliance for big brothers: An empirical analysis on the impact of the anti-trafficking protocol," University of Göttingen Working Papers in Economics 118, University of Goettingen, Department of Economics.
    3. B. James Deaton & Getu Hailu & Xiaoye Zhou, 2014. "Poverty in Canada: Does Manufacturing Matter?," Growth and Change, Wiley Blackwell, vol. 45(2), pages 362-376, June.
    4. Wo[ss]mann, Ludger & West, Martin, 2006. "Class-size effects in school systems around the world: Evidence from between-grade variation in TIMSS," European Economic Review, Elsevier, vol. 50(3), pages 695-736, April.
    5. Lucia Rizzica, 2018. "When the Cat’s Away The Effects of Spousal Migration on Investments on Children," The World Bank Economic Review, World Bank, vol. 32(1), pages 85-108.
    6. Vieira, Flávio & MacDonald, Ronald & Damasceno, Aderbal, 2012. "The role of institutions in cross-section income and panel data growth models: A deeper investigation on the weakness and proliferation of instruments," Journal of Comparative Economics, Elsevier, vol. 40(1), pages 127-140.
    7. Alston Lee J. & Mueller Bernardo, 2018. "Priests, Conflicts and Property Rights: the Impacts on Tenancy and Land Use in Brazil," Man and the Economy, De Gruyter, vol. 5(1), pages 1-26, June.
    8. McCausland, David & Pouliakas, Konstantinos & Theodossiou, Ioannis, 2005. "Some are Punished and Some are Rewarded: A Study of the Impact of Performance Pay on Job Satisfaction," MPRA Paper 14243, University Library of Munich, Germany.
    9. Morricone, Serena & Munari, Federico & Oriani, Raffaele & de Rassenfosse, Gaetan, 2017. "Commercialization Strategy and IPO Underpricing," Research Policy, Elsevier, vol. 46(6), pages 1133-1141.
    10. Joseph P. Byrne & Alexandros Kontonikas & Alberto Montagnoli, 2013. "International Evidence on the New Keynesian Phillips Curve Using Aggregate and Disaggregate Data," Journal of Money, Credit and Banking, Blackwell Publishing, vol. 45(5), pages 913-932, August.
    11. Hebous, Shafik & Zimmermann, Tom, 2014. "Revisiting the Narrative Approach of Estimating Fiscal Multipliers," VfS Annual Conference 2014 (Hamburg): Evidence-based Economic Policy 100408, Verein für Socialpolitik / German Economic Association.
    12. Chan-Jane Lin & Tawei Wang & Chao-Jung Pan, 2016. "Financial reporting quality and investment decisions for family firms," Asia Pacific Journal of Management, Springer, vol. 33(2), pages 499-532, June.
    13. Hilber, Christian A.L., 2010. "New housing supply and the dilution of social capital," Journal of Urban Economics, Elsevier, vol. 67(3), pages 419-437, May.
    14. Sheikh, Shahbaz, 2018. "The impact of market competition on the relation between CEO power and firm innovation," Journal of Multinational Financial Management, Elsevier, vol. 44(C), pages 36-50.
    15. Sean M. Dougherty, 2014. "Legal Reform, Contract Enforcement and Firm Size in Mexico," Review of International Economics, Wiley Blackwell, vol. 22(4), pages 825-844, September.
    16. Adrian Nicholas Gachet, 2022. "Help Me Help You? Populism and Distributive Politics in Ecuador," Economics Discussion Paper Series 2205, Economics, The University of Manchester.
    17. Marie Bjørneby & Annette Alstadsæter & Kjetil Telle, 2018. "Collusive tax evasion by employers and employees. Evidence from a randomized fi eld experiment in Norway," Discussion Papers 891, Statistics Norway, Research Department.
    18. Berthélemy Michel & Bonev Petyo & Dussaux Damien & Söderberg Magnus, 2019. "Methods for strengthening a weak instrument in the case of a persistent treatment," Studies in Nonlinear Dynamics & Econometrics, De Gruyter, vol. 23(1), pages 1-30, February.
    19. Bing Guo & Yun Lou & David Pérez‐Castrillo, 2015. "Investment, Duration, and Exit Strategies for Corporate and Independent Venture Capital‐Backed Start‐Ups," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 24(2), pages 415-455, June.
    20. Juliana Yael Milovich, 2018. "Does Aid Reduce Poverty?," OPHI Working Papers ophiwp122.pdf, Queen Elizabeth House, University of Oxford.

    More about this item

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:zbw:rwimat:101. 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.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with 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: ZBW - Leibniz Information Centre for Economics (email available below). General contact details of provider: https://edirc.repec.org/data/rwiesde.html .

    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.