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新冠疫情期间德国医院容量报告

Hospital capacity reporting in Germany during Covid-19

Journal of Economic Behavior and Organization · 2024
被引 1
ABS 3

中文导读

研究了德国医院在ICU占用率超过75%时获得财政支持的方案下,是否存在策略性报告行为,发现没有经济意义上可检测的证据。

Abstract

During the COVID-19 pandemic, hospitals faced a unique predicament. Hospital care was urgently needed and society took efforts to prevent overwhelming hospitals. However, hospitals in case-based reimbursement schemes faced financial problems because of canceled elective care visits and government regulations to keep capacity free for Covid-19 patients. Therefore, emergency financing measures were implemented in many countries. We analyze how hospitals in Germany responded to a scheme that provided financial support if the intensive care unit (ICU) occupancy rate in a county exceeded 75%. The scheme distributed over seven billion euros to hospitals and was notable because financial support depended on a measure (ICU occupancy rate) that hospitals could directly influence. To analyze hospitals’ reactions to this scheme, we employ event study analyses comparing ICU capacity before and after regions became eligible. We find no evidence of strategic reporting at an economically meaningful and hence empirically detectable scale.

卫生经济学医院管理公共卫生政策新冠疫情