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American Economic Review Vol. 106 No. 5 2016

Sources of Inefficiency in Healthcare and Education

Amitabh Chandra1; Douglas Staiger2

1 Kennedy School of Government, Harvard University, 79 JFK Street, Cambridge, MA 02138 (e-mail: ) · 2 Department of Economics, Rockefeller Hall, Dartmouth College, Hanover, NH 03555 (e-mail: )

Abstract

Healthcare and education exhibit wide variation in spending that is loosely associated with outcomes. We study supply-side explanations for such variation in in healthcare, and extend this discussion to how it might apply to education. In both sectors, variation in risk-adjusted rates could arise from some providers or educators doing too much (overuse) or others are using too little (underuse). Alternatively, the production function varies across providers and educators, so that hospitals and educators with higher returns to treatment deliver more because of comparative advantage. We discuss how a prototypical Roy model can separate these explanations.

DOI
10.1257/aer.p20161079
Volume
106
Issue
5
Pages
383-387
Language
en
Sources
bibtex:phds-export.bib openalex crossref

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