Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/20953
Full metadata record
DC FieldValueLanguage
dc.contributor.authorBerta, P-
dc.contributor.authorVinciotti, V-
dc.contributor.authorMoscone, F-
dc.date.accessioned2020-06-10T10:42:06Z-
dc.date.available2020-06-10T10:42:06Z-
dc.date.issued2019-11-11-
dc.identifierarXiv:1911.04168v1 [stat.AP]-
dc.identifier.citationBerta, P., Vinciotti, V. and Moscone, F. (2020) 'Does hospital cooperation increase the quality of healthcare?', arXiv:1911.04168v1 [stat.AP] [preprint], pp. 1 - 18.. doi: 10.48550/arXiv.1911.04168.-
dc.identifier.urihttps://bura.brunel.ac.uk/handle/2438/20953-
dc.descriptionThe article available on this institutional repository is a preprint. It may not have been certified by peer review.-
dc.description.abstractMotivated by reasons such as altruism, managers from different hospitals may engage in cooperative behaviours, which shape the networked healthcare economy. In this paper we study the determinants of hospital cooperation and its association with the quality delivered by hospitals, using Italian administrative data. We explore the impact on patient transfers between hospitals (cooperation/network) of a set of demand-supply factors, as well as distance-based centrality measures. We then use this framework to assess how such cooperation is related to the overall quality for the hospital of origin and of destination of the patient transfer. The over-dispersed Poisson mixed model that we propose, inspired by the literature on social relations models, is suitably defined to handle network data, which are rarely used in health economics. The results show that distance plays an important role in hospital cooperation, though there are other factors that matter such as geographical centrality. Another empirical finding is the existence of a positive relationship between hospital cooperation and the overall quality of the connected hospitals. The absence of a source of information on the quality of hospitals accessible to all providers, such as in the form of star ratings, may prevent some hospitals to engage and cooperate with other hospitals of potentially higher quality. This may result in a lower degree of cooperation among hospitals and a reduction in quality overall.en_US
dc.description.sponsorshipEuropean Cooperation in Science & Technology” (COST)en_US
dc.format.extent1 - 18-
dc.format.mediumElectronic-
dc.language.isoenen_US
dc.subjecthospital cooperationen_US
dc.subjectpatient flowsen_US
dc.subjectsocial relation modelen_US
dc.subjecthealthcare qualityen_US
dc.titleDoes hospital cooperation increase the quality of healthcare?en_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.48550/arXiv.1911.04168-
dc.identifier.eissn2331-8422-
Appears in Collections:Dept of Mathematics Research Papers

Files in This Item:
File Description SizeFormat 
FullText.pdf388.36 kBAdobe PDFView/Open


Items in BURA are protected by copyright, with all rights reserved, unless otherwise indicated.