DP15105 "Does Higher Hospital Quality Save Lives? The Association between" "COVID-19 Deaths and Hospital Quality in the USA
|Author(s):||Johannes Kunz, Carol Propper|
|Publication Date:||July 2020|
|Keyword(s):||COVID-19, County-level Deaths, Hospital Quality, Health Care Systems, Minorities|
|JEL(s):||H51, I11, I18|
|Programme Areas:||Public Economics|
|Link to this Page:||cepr.org/active/publications/discussion_papers/dp.php?dpno=15105|
This paper examines the association between the quality of hospitals to which residents of a US county are exposed and deaths from COVID-19. We derive a measure of the hospitals accessible to county residents based on ambulance travel patterns. We estimate hospital quality from measures of performance used in a flagship national pay-for-performance program. We find that a standard deviation in local quality- exposure is associated with a roughly 9% lower death rate. The preventive effects of access to high quality hospitals vary sharply by minority composition of the local population.