Healthcare Quality, Patients’ Satisfaction, and Hospital Incentives in France (notice n° 836084)
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| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250123140636.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Lescher, Myriam |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Healthcare Quality, Patients’ Satisfaction, and Hospital Incentives in France |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2019.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 84 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Les autorités sanitaires françaises ont récemment produit et mis à disposition du public un large éventail de mesures de la qualité des soins hospitaliers, régulièrement mises à jour (www.scopesante.fr). La théorie économique appliquée aux marchés des soins de santé prédit que les coûts de surveillance engagés par les autorités de santé au bénéfice du patient (le principal) pour signaler la qualité des hôpitaux (les agents) devraient inciter ces derniers à améliorer les indicateurs de qualité et de sécurité des soins (IQSS). Cependant, les patients se réfèrent rarement à l’information clinique, technique de qualité des soins afin de discriminer les hôpitaux; et sont davantage enclins à utiliser des évaluations subjectives (telles que le bouche-à-oreille) dont la satisfaction des patients peut être un indicateur indirect. A l’aide d’un échantillon unique de données concernant 2 323 hôpitaux en France métropolitaine et en surmontant les problèmes de sélection inhérents à notre échantillon, nous trouvons une forte corrélation entre une mesure standardisée de la satisfaction des patients, e-satis, et diverses mesures des IQSS. Nos résultats suggèrent que, puisque les patients utilisent un signal qui transmet des informations sur la qualité, les hôpitaux pourraient être incités à améliorer la qualité des soins. Codes JEL: I18, L25, C34 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Health Authorities in France recently produced and made publicly available a wide array of regularly updated hospital care quality measures (www.scopesante.fr). Economic theory applied to healthcare markets predicts that monitoring costs incurred by Health Authorities (the principal) to signal hospitals’ (the agent) quality should create incentives for the latter to improve their Quality and Safety Indicators (QSIs). However, patients rarely refer to technical quality information to choose between hospitals. They are more prone to make use of subjective appraisals (such as word-of-mouth) of which patients’ satisfaction is a proxy. Using a unique dataset of 2,323 hospitals in France, and overcoming sample selection issues, we found a strong and positive correlation between a standardized measure of patients’ satisfaction ( e-satis) and various measures of QSIs. Our results suggest that, since patients use a signal that carries information about quality, hospitals could be incited to increase healthcare quality. Codes JEL: I18, L25, C34 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | indicateurs de qualité et de sécurité<br/>des soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | performance hospitalière |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | marché hospitalier |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | signal de qualité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | théorie de l’agence |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | agency<br/>theory |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | quality and safety indicators |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | signal quality |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hospital performance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | healthcare markets |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Sirven, Nicolas |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Revue d'économie politique | 129 | 4 | 2019-09-17 | p. 525-551 | 0373-2630 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-d-economie-politique-2019-4-page-525?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-d-economie-politique-2019-4-page-525?lang=en&redirect-ssocas=7080</a> |
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