Transcription of Temporal Specificity and Task Alignment: Evidence …
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Temporal Specificity and Task Alignment: Evidence …
1 Temporal Specificity and Task alignment : Evidence from Patient Care* Guy David The Wharton School, University of Pennsylvania and NBER Evan Rawley The Wharton School, University of Pennsylvania Daniel Polsky University of Pennsylvania January 2011 We show how integration solves Temporal Specificity problems that arise from the misalignment of tasks between organizations and test the predictions of the model, using a large and rich patient-level dataset on hospital discharges to nursing homes and home health care. As predicted by the theory, we find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower cost delivery systems by discharging patients earlier and in poorer health; and integration leads to greater post-hospitalization service intensity. While integration facilitates a shift in the allocation of tasks , health outcomes are no worse when patients receive care from an integrated provider.
1 Temporal Specificity and Task Alignment: Evidence from Patient Care* Guy David The Wharton School, University of Pennsylvania and NBER Evan Rawley
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