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Estimating returns to hospital volume: Evidence from advanced cancer surgery
journal contribution
posted on 2022-12-08, 22:30 authored by D Avdic, P Lundborg, J VikströmHigh-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.
History
Journal
Journal of Health EconomicsVolume
63Pagination
81-99Location
NetherlandsPublisher DOI
ISSN
0167-6296eISSN
1879-1646Language
enPublisher
Elsevier BVUsage metrics
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Keywords
Cancer surgeryCausal effectHospital case volumeLearning-by-doingSurvivalAgedFemaleHospitals, High-VolumeHospitals, Low-VolumeHumansMaleModels, EconometricNeoplasmsOncology Service, HospitalSwedenTreatment OutcomeCancerPatient SafetyClinical ResearchApplied Economics not elsewhere classifiedPublic Health and Health Services not elsewhere classifiedEconometrics not elsewhere classified
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