Surgeon supply and healthcare quality: Are revision rates for hip and knee replacements lower in hospitals that employ more surgeons?

Van Gestel, Raf; Broekman, Niels; Müller, Tobias Benjamin (2023). Surgeon supply and healthcare quality: Are revision rates for hip and knee replacements lower in hospitals that employ more surgeons? Health Economics, 32(10), pp. 2298-2321. Wiley 10.1002/hec.4727

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We study the link between department-wide surgeon supply and quality of care for two major elective medical procedures. Several countries have adopted policies to concentrate medical procedures in high-volume hospitals. While higher patient volumes might translate to higher quality, we provide evidence for a positive relationship between surgeon supply and hospital revision rates for hip and knee replacement surgery. Hence, hospital performance decreases with higher surgeon supply, and this finding holds conditional on patient volumes.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Institute of Health Economics and Health Policy
Name:	Van Gestel, Raf; Broekman, Niels and Müller, Tobias Benjamin
ISSN:	1057-9230
Publisher:	Wiley
Language:	English
Submitter:	Tobias Benjamin Müller
Date Deposited:	17 Nov 2023 10:26
Last Modified:	17 Nov 2023 10:26
Publisher DOI:	10.1002/hec.4727
Uncontrolled Keywords:	healthcare quality, surgeon supply, volume-outcome relationship
ARBOR DOI:	10.24451/arbor.20376
URI:	https://arbor.bfh.ch/id/eprint/20376