Managers and Public Hospital Performance

S-Tier
Journal: American Economic Review
Year: 2025
Volume: 115
Issue: 11
Pages: 4040-74

Score contribution per author:

4.022 = (α=2.01 / 2 authors) × 4.0x S-tier

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

Abstract

We study whether the quality of managers can affect public service provision in the context of public health. Using novel data from public hospitals in Chile, we show how the introduction of a competitive recruitment system and better pay for public hospital CEOs reduced hospital mortality by 8 percent. The effect is not explained by a change in patient composition. We find that the policy changed the pool of CEOs by displacing doctors with no management training in favor of CEOs who had studied management. Productivity improvements were driven by hospitals that recruited higher quality CEOs.

Technical Details

RePEc Handle
repec:aea:aecrev:v:115:y:2025:i:11:p:4040-74
Journal Field
General
Author Count
2
Added to Database
2026-01-26