.png){kind=icon}
.png){kind=icon}
Return
Mandatory patient surveys and hospital resource allocation
.png){kind=icon}
OA
AI
V
D
K
DOI：10.1007/s11142-026-09973-0.png)
.png){kind=icon}
.png){kind=icon}
Share.png){kind=icon}
Save
Abstract
En 中文
We exploit the introduction of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to examine whether mandatory patient-experience reporting alters U.S. hospitals’ resource allocation. Using a difference-in-differences design, we find that hospitals subject to the mandate reduce the share of spending devoted to clinical care, implying a 0.6% decline in clinical spending share. This equates to approximately $1 million annually for a mid-sized hospital. Consistent with multitasking theory, greater emphasis on patient experience induces a reallocation of financial resources and managerial attention away from clinical care. Clinical spending per discharge also declines, indicating reduced clinical intensity. Treated hospitals subsequently exhibit worse inpatient mortality outcomes, 0.15–0.25 percentage points relative to a 2.3% baseline rate, representing a 7%–10% deterioration compared to unaffected hospitals. Mediation and cross-sectional analyses link resource reallocation to inpatient mortality. These effects emerge prior to public disclosure, suggesting responses to measurement and anticipated reporting.
Keywords:
Multitasking
Resource allocation
Regulation
Patient experience
Clinical care
HCAHPS survey
AI Summary
Key information extracted from the uploaded paper, including a brief overview, abstract, background, key highlights, visual analysis, and future outlook.
Journal
IF:
5.8
Papers:
1.0K
Citations:
6.4K
Organization
Cited Papers