The empirical literature on hospital report cards typically assumes that report card cannot interact with consumer’s private learning. This study examines the impact of the implementation of FL hospital quality reporting system in late 2004 on hospital admission patterns using a pre-post difference-in-difference design. The estimation model allows for the possibility that report-card learning may interact with non-report-card learning. The study sample is comprised of all patients admitted to any FL hospital between 2000 and 2008 with a principal diagnosis of acute myocardial infarction (AMI). We find that hospital admission patterns for AMI patients did not respond to report card information. However, we find evidence consistent with the possibility that the implementation of a report card system may stimulate consumers (either patients or physicians) to seek higher quality hospitals through private information channels.
Cite this paper
Wu, V. and Liu, P. (2013) Can public report cards affect consumer’s private learning of quality? An evaluation of the impact of Florida hospital report cards on acute myocardial infarction patient admission patterns. Health
, 2181-2189. doi: 10.4236/health.2013.512297
 Kolstad, J.T. (2010) Information and quality when motivation is intrinsic: Evidence from surgeon report cards. University of Pennsylvania, Pennsylvania.
 Harris, K.M. and Buntin, M.B. (2008) Choosing a health care provider: The role of quality information. Research Synthesis Report 14. Robert Wood Johnson Foundation, Princeton.
 Kolstad, J.T. and Chernew, M.E. (2009) Quality and consumer decision making in the market for health insurance and health care services. Medical Care Research and Review, 66, 28S-52S.http://dx.doi.org/10.1177/1077558708325887
 Mukamel, D.B. and Mushlin, A.I. (2001) The impact of quality report cards on choice of physicians, hospitals, and HMOs: A midcourse evaluation. The Joint Commission Journal on Quality Improvement, 27, 20.
 Chernew, M., Gowrisankaran, G. and Scanlon, D.P. (2008) Learning and the value of information: Evidence from health plan report cards. Journal of Econometrics, 144, 156-174. http://dx.doi.org/10.1016/j.jeconom.2008.01.001
 Dranove, D. and Sfekas, A. (2008) Start spreading the news: A structural estimate of the effects of New York hospital report cards. Journal of Health Economics, 27, 1201-1207. http://dx.doi.org/10.1016/j.jhealeco.2008.03.001
 Epstein, A.J. and Rosenquist, J.N. (2010) Tell me something new: Report cards and the referring physician. The American Journal of Medicine, 123, 99-100.http://dx.doi.org/10.1016/j.amjmed.2009.08.010
 Mukamel, D.B., et al. (2004) Quality report cards, selection of cardiac surgeons, and racial disparities: A study of the publication of the New York State Cardiac Surgery Reports. Inquiry: A Journal of Medical Care Organization, Provision and Financing, 41, 435.
 Scanlon, D.P., et al. (2002) The impact of health plan report cards on managed care enrollment. Journal of Health Economics, 21, 19-41.http://dx.doi.org/10.1016/S0167-6296(01)00111-4
 Wedig, G.J. and Tai-Seale, M. (2002) The effect of report cards on consumer choice in the health insurance market. Journal of Health Economics, 21, 1031-1048.http://dx.doi.org/10.1016/S0167-6296(02)00075-9
 Dafny, L. and Dranove, D. (2008) Do report cards tell consumers anything they don’t already know? The case of medicare HMOs. The RAND Journal of Economics, 39, 790-821. http://dx.doi.org/10.1111/j.1756-2171.2008.00039.x
 Jin, G.Z. and Sorensen, A.T. (2006) Information and consumer choice: The value of publicized health plan ratings. Journal of Health Economics, 25, 248-275.http://dx.doi.org/10.1016/j.jhealeco.2005.06.002
 Bundorf, M.K., et al. (2009) Do markets respond to quality information? The case of fertility clinics. Journal of Health Economics, 28, 718-727.http://dx.doi.org/10.1016/j.jhealeco.2009.01.001
 Schneider, E.C. and Epstein, A.M. (1996) Influence of cardiac-surgery performance reports on referral practices and access to care. A survey of cardiovascular specialists. The New England Journal of Medicine, 335, 251-256.http://dx.doi.org/10.1056/NEJM199607253350406
 Burns, L.R. and Wholey, D.R. (1992) The impact of physician characteristics in conditional choice models for hospital care. Journal of Health Economics, 11, 43-62.http://dx.doi.org/10.1016/0167-6296(92)90024-U