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

Raf Van Gestel*, Niels Broekman, Tobias Müller

*Corresponding author for this work

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Abstract

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.

Original languageEnglish
Pages (from-to)2298-2321
Number of pages24
JournalHealth Economics (United Kingdom)
Volume32
Issue number10
Early online date5 Jul 2023
DOIs
Publication statusPublished - Oct 2023

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Health Economics published by John Wiley & Sons Ltd.

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