Evaluating Organizational Change in Health Care: The Patient-Centered Hospital Model

We develop an ex post evaluation of the performance of hospitals moving from a functional to a patient-centered (PC) organizational model. We suggest a quantitative framework for overcoming some of the challenges in the evaluation of organizational models by taking advantage of the fortunate coincidence of a quasi-experimental setting regarding all the major diagnostic categories (MDCs) in three hospitals of an important region of Italy and of the availability of a unique administrative data set spanning nine years. The results show that both efficiency and effectiveness have significantly increased in the average MDC of PC hospitals. These results have important policy implications, which may also be of great interest to policy makers and hospital managers.

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