Reputation Effects in Patient-Hospital Matching
时 间:2019年4月10日(周三)上午9:00-11:30
地 点:浙江大学紫金港校区行政楼1102会议室
主讲人:Dr. Xiaohui Zhang (Senior Lecturer), University of Exeter(英国)
主持人:王明征 教授,火狐手机版登录入口
摘 要:
This paper studies the role of reputation effects in individual hospital choices. Our analysis focuses on birth episodes in the Melbourne metropolitan area from 2011/12. We examine the decision behaviour of women with private health insurance in selecting one of 18 local hospitals. First of all, we examine how observed hospital performance and unobserved hospital reputation influence a patient’s willingness to travel between her residential location and the chosen hospital. In addition, to investigate the probability of an individual hospital being selected from all given hospitals by a patient, we adopt a multinomial probit (MNP) model estimated by a Bayesian method. In this study, we allow for correlations across hospitals, due to the similarities across hospitals attributable to geographic locations and other hospital characteristics such as the hospital ownership. We find that there are significant hospital specific differences in the willingness to travel, which suggests that people travel further to visit more reputable institutions. This result is complemented by substantial differences in the probabilities of specific hospitals being chosen. A comprehensive simulation study is conducted by using the estimated results from the MNP model to examine how hospitals’ performance and locations impact the population’s hospital selection decision. By varying the geographic locations, the performance of the hospitals and other hospital characteristics, we examine the differences in its overall impacts on the population’s hospital selection decision. This exercise provides valuable evidence and guidance to policy and government decision makers.
主讲人简介:
Xiaohui Zhang is now the Senior lecturer in the Business School, University of Exeter, UK. She received his PhD in Econometrics and Health Economics from Monash University, Australia in 2009. Before joining the University of Exeter, she had been working at Monash University and Murdoch University, Australia. His primary research interestsin applied micro-econometrics, including cross-sectional and panel data modelling, applied Bayesian econometrics, semi-parametric and non-parametric modelling and productivity and efficiency analysis. My research topics are across individual health status, health services utilization, private health insurance purchasing decision, chronic diseases, rare diseases, children obesity, hospital performance, health care expenditure, etc. He has published in leading academic journals including Journal of the Royal Statistical Society Series A, Annals of Applied Statistics, Journal of Econometrics, Health Economics, Review of International Economics, Journal of Productivity Analysis, Journal of Banking & Finance, and so on.
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