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Article
Short-Term Fluctuations in Hospital Demand: Implications for Admission, Discharge, and Discriminatory Behavior
The RAND Journal of Economics (2008)
  • Rajiv Sharma, Portland State University
  • Miron Stano, Oakland University
  • Renu Gehring
Abstract
We analyze admission and discharge decisions when hospitals become capacity constrained on high-demand days, and develop a test for discrimination that, under certain circumstances, does not require controls for differences across patient groups. On high-demand days, patients are discharged earlier than expected compared to those discharged on low-demand days. High demand creates no statistically significant differences in hospitals' admission behavior. Thus, hospitals appear to ration capacity by hastening discharges rather than by restricting admissions. We could not reject a null hypothesis of no discrimination against Medicaid patients in discharges.
Disciplines
Publication Date
June, 2008
Citation Information
Rajiv Sharma, Miron Stano and Renu Gehring. "Short-Term Fluctuations in Hospital Demand: Implications for Admission, Discharge, and Discriminatory Behavior" The RAND Journal of Economics Vol. 39 Iss. 2 (2008)
Available at: http://works.bepress.com/rajiv_sharma/5/