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Integration and Task Allocation: Evidence from Patient Care

Guy David; Evan Rawley; Daniel Polsky

Title:
Integration and Task Allocation: Evidence from Patient Care
Author(s):
David, Guy
Rawley, Evan
Polsky, Daniel
Date:
Type:
Articles
Department(s):
Business
Volume:
22
Persistent URL:
Book/Journal Title:
Journal of Economics & Management Strategy
Abstract:
Using the universe of patient transitions from inpatient hospital care to skilled nursing facilities and home health care in 2005, we show how integration eliminates task misallocation problems between organizations. We find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower-cost organizations by discharging patients earlier (and in poorer health) and increasing post-hospitalization service intensity. Although integration facilitates a shift in the allocation of tasks and resources, health outcomes either improved or were unaffected by integration on average. The evidence suggests that integration solves coordination problems that arise in market exchange through improvements in the allocation of tasks across care settings.
Subject(s):
Health services administration
Medical care
Publisher DOI:
https://doi.org/10.1111/jems.12023
Item views
135
Metadata:
text | xml
Suggested Citation:
Guy David, Evan Rawley, Daniel Polsky, , Integration and Task Allocation: Evidence from Patient Care, Columbia University Academic Commons, .

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