Document Detail

Do markets respond to quality information? The case of fertility clinics.
MedLine Citation:
PMID:  19328568     Owner:  NLM     Status:  MEDLINE    
Although policymakers have increasingly turned to provider report cards as a tool to improve health care quality, existing studies provide mixed evidence on whether they influence consumer choices. We examine the effects of providing consumers with quality information in the context of fertility clinics providing Assisted Reproductive Therapies (ART). We report three main findings. First, clinics with higher birth rates had larger market shares after the adoption of report cards relative to before. Second, clinics with a disproportionate share of young, relatively easy-to-treat patients had lower market shares after adoption versus before. This suggests that consumers take into account information on patient mix when evaluating clinic outcomes. Third, report cards had larger effects on consumers and clinics from states with ART insurance coverage mandates. We conclude that consumers respond to quality report cards when choosing among providers of ART.
M Kate Bundorf; Natalie Chun; Gopi Shah Goda; Daniel P Kessler
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Publication Detail:
Type:  Journal Article     Date:  2009-01-29
Journal Detail:
Title:  Journal of health economics     Volume:  28     ISSN:  0167-6296     ISO Abbreviation:  J Health Econ     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-12     Completed Date:  2009-07-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8410622     Medline TA:  J Health Econ     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  718-27     Citation Subset:  H    
Stanford University and NBER, HRP Redwood Building, Stanford, CA 94305-5405, United States.
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MeSH Terms
Choice Behavior
Consumer Participation*
Quality of Health Care*
Reproductive Health Services / standards*

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