Estimating the Out-of-Hospital Mortality Rate Using Patient Discharge Data

30 Pages Posted: 10 Mar 2006  

Geert Ridder

University of Southern California

Mehdi Farsi

University of Neuchatel - Institute for Research in Economics (IRENE)

Date Written: March 2006

Abstract

This paper is a case study of the use of public use administrative data for the estimation of empirical relations when key dependent variables are not available in the data. It is shown that the out-of-hospital mortality rates can be identified using the patient discharge data without post-discharge death records. Using data on the lengths of hospitalizations and out-of-hospital spells, the mortality rates before and after discharge as well as discharge and re-hospitalization rates are estimated for a sample of heart-attack patients hospitalized in California between 1992 and 1998. The results suggest that ignoring variation of discharge rates among hospital types could be misleading in evaluating hospital performance regarding mortality risks.

Keywords: Mortality; Hospital quality; Duration models; Survival analysis

Suggested Citation

Ridder, Geert and Farsi, Mehdi, Estimating the Out-of-Hospital Mortality Rate Using Patient Discharge Data (March 2006). IEPR Working Paper No. 06.45. Available at SSRN: https://ssrn.com/abstract=889445 or http://dx.doi.org/10.2139/ssrn.889445

Geert Ridder (Contact Author)

University of Southern California ( email )

Kaprielian Hall
Los Angeles, CA 90089
United States
213-740-2110 (Phone)
213-740-8543 (Fax)

Mehdi Farsi

University of Neuchatel - Institute for Research in Economics (IRENE) ( email )

Pierre-à-Mazel 7
Neuchatel, 2000
Switzerland
+41 32 718 1450 (Phone)

Paper statistics

Downloads
53
Rank
314,132
Abstract Views
942