Estimating returns to hospital volume: Evidence from advanced cancer surgery

B-Tier
Journal: Journal of Health Economics
Year: 2019
Volume: 63
Issue: C
Pages: 81-99

Score contribution per author:

0.670 = (α=2.01 / 3 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

High-volume hospitals typically perform better than low-volume hospitals. In this paper, we study whether such patterns reflect a causal effect of case volume on patient outcomes. To this end, we exploit closures and openings of entire cancer clinics in Swedish hospitals which provides sharp and arguably exogenous variation in case volumes. Using detailed register data on more than 100,000 treatment episodes of advanced cancer surgery, our results suggest substantial positive effects of operation volume on survival. Complementary analyses point to learning-by-doing as an important explanation.

Technical Details

RePEc Handle
repec:eee:jhecon:v:63:y:2019:i:c:p:81-99
Journal Field
Health
Author Count
3
Added to Database
2026-01-24