{
  "title": "The Economic Impact of Healthcare Quality",
  "publication": "IMF Working Papers, August 16, 2019",
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  "summary": "We study the costs of hospitalizations on patients’ earnings and labor supply, using the universe of hospital admissions in Denmark and full-population tax data.",
  "sections": [
    {
      "heading": "Research question and data",
      "content": "- Study objective: measure the costs of hospitalizations on patients’ earnings and labor supply.\n- Data: the universe of hospital admissions in Denmark and full-population tax data.\n- Proposed measure: \"Adjusted Earning Losses\" (AEL) — evaluates quality of treatment based on its ability to mitigate the labor market consequences of a given diagnosis."
    },
    {
      "heading": "Methodology and measurement",
      "content": "- Quality evaluation approach: assess hospitals by how much they reduce post-hospitalization labor market losses for patients with the same diagnosis.\n- AEL: a new hospital-quality measure constructed from observed post-hospitalization earnings and labor supply outcomes."
    },
    {
      "heading": "Key findings and statistics",
      "content": "- Difference across hospitals: a 4 percentage points difference in lost earnings between the best and worst large Danish hospitals, all else equal.\n- Additional information: AEL contains significant additional information relative to traditional measures and does not suffer from worse selection issues.\n- Time trends in labor cost of hospitalizations:\n  - The average post-hospitalization reduction in labor earnings declined by 25 percent on the intensive margin between 1998 and 2012.\n  - The average post-hospitalization reduction in labor earnings declined by 50 percent on the extensive margin between 1998 and 2012.\n- Variation: large variations across diseases in the decline of the labor cost of hospitalizations."
    },
    {
      "heading": "Scope, subjects, and keywords",
      "content": "- Subject areas: Health; Labor; Labor costs; Labor force participation; Labor markets; Wages.\n- Keywords provided: earnings loss; Global; health shocks; healthcare quality; hospital admission; hospital choice; hospital patient; hospital productivity; Hospital quality; Labor costs; Labor force participation; labor market; Labor markets; labor supply; low-AEL hospital; medical condition; quality measure; standard deviation; Wages; WP.\n\n---\n\n Content in this bundle\n\n- Working Paper\n  - Working Paper (Markdown version){rel=\"alternate\" type=\"text/markdown\"}\n  - Working Paper (PDF){rel=\"external\" type=\"application/pdf\"}\n\n---\n\nSource: https://www.imf.org/en/publications/wp/issues/2019/08/16/the-economic-impact-of-healthcare-quality-47049"
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    "Authors: Anne-Line Koch Helsø, Nicola Pierri, Adelina Yanyue Wang",
    "Published: August 16, 2019",
    "Series: IMF Working Papers",
    "DOI: https://doi.org/10.5089/9781498324595.001",
    "Study objective: measure the costs of hospitalizations on patients’ earnings and labor supply.",
    "Data: the universe of hospital admissions in Denmark and full-population tax data.",
    "Proposed measure: \"Adjusted Earning Losses\" (AEL) — evaluates quality of treatment based on its ability to mitigate the labor market consequences of a given diagnosis.",
    "Quality evaluation approach: assess hospitals by how much they reduce post-hospitalization labor market losses for patients with the same diagnosis.",
    "AEL: a new hospital-quality measure constructed from observed post-hospitalization earnings and labor supply outcomes.",
    "Difference across hospitals: a 4 percentage points difference in lost earnings between the best and worst large Danish hospitals, all else equal.",
    "Additional information: AEL contains significant additional information relative to traditional measures and does not suffer from worse selection issues.",
    "Time trends in labor cost of hospitalizations:",
    "Variation: large variations across diseases in the decline of the labor cost of hospitalizations.",
    "Subject areas: Health; Labor; Labor costs; Labor force participation; Labor markets; Wages.",
    "Keywords provided: earnings loss; Global; health shocks; healthcare quality; hospital admission; hospital choice; hospital patient; hospital productivity; Hospital quality; Labor costs; Labor force participation; labor market; Labor markets; labor supply; low-AEL hospital; medical condition; quality measure; standard deviation; Wages; WP.",
    "**Working Paper**"
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