HEALTHCARE QUALITY

This is more likely to be the case in the absence of strong competition9 or rigorous supervision by the head of the department.10 Indeed, an MC specialist always receives the same per diem at the hospital, and this payment is independent of the quality of care that is delivered to patients. [...] The endogeneity in the adoption of the MC scheme is discussed below.13 The information regarding the patient’s transitions over the sample period starts with their first admission to hospital after the beginning of the sampling period. [...] This can occur in the data when it is the first admission for the patient, when the DRG or department of the new admission is different from that of the previous admission, when it is a simple control visit, or when the length of stay at home before re-admission exceeds 30 days. [...] The parameter θ(r) captures the effect of the MC on the expected log of the conditional hazard. [...] Since the conditional hazard model is linear in logarithms, this coefficient also represents the ATT of the log of the hazard for the transition r.