Table 2.
Estimates of the Association between Inpatient Spending ($10,000s) and Thirty-Day Mortality of Medical Patients
(1)-OLS | (2)-OLS | (3)-OLS | (4) – IV | (5) – IV | (6) – IV | (7) – IV | |
---|---|---|---|---|---|---|---|
CHF patients | 0.0034* | 0.0025* | 0.0032* | −0.0212* | −0.0255* | −0.0222* | −0.0302* |
(mean of dep. var. = 0.08) | (0.0002) | (0.0002) | (0.0002) | (0.0037) | (0.0042) | (0.0034) | (0.0087) |
AMI patients | −0.0016* | −0.0019* | −0.0022* | −0.0003 | 0.0084 | −0.0086* | −0.0132* |
(mean of dep. var. = 0.15) | (0.0001) | (0.0001) | (0.0001) | (0.0045) | (0.0055) | (0.0028) | (0.0043) |
Stroke patients | 0.0018* | −0.0001 | −0.0004** | −0.0549* | −0.0468* | −0.0516* | −0.0399* |
(mean of dep. var. = 0.17) | (0.0002) | (0.0002) | (0.0002) | (0.0084) | (0.0109) | (0.0072) | (0.0157) |
GI-bleeding patients | 0.0076* | 0.0050* | 0.0057* | −0.0116* | −0.0117* | −0.0137* | −0.0274* |
(mean of dep. var. = 0.06) | (0.0004) | (0.0003) | (0.0003) | (0.0026) | (0.0042) | (0.0027) | (0.0087) |
End-of-life instruments: | |||||||
ICU days | Excluded | Excluded | Included | ||||
Instrument | Instrument | Covariate | |||||
Non-ICU hospital days | Excluded | Included | Included | ||||
Instrument | Covariate | Covariate | |||||
Inpatient spending (Dartmouth) | Excluded | Excluded | |||||
Instrument | Instrument | ||||||
Partial F-excluded instruments | |||||||
CHF patients | 20* | 35* | 66* | 21* | |||
AMI patients | 13* | 15* | 35* | 23* | |||
Stroke patients | 21* | 32* | 73* | 13* | |||
GI-bleeding patients | 26* | 33* | 96* | 24* | |||
Patient characteristics | No | Yes | Yes | Yes | Yes | Yes | Yes |
Hospital characteristics | No | No | Yes | Yes | Yes | Yes | Yes |
Notes: See notes to table 1. In addition, for medical patients, we include among the hospital characteristics separate measures of the average total spending on three types of surgery patients who did not experience a complication: general, vascular, and orthopedic.