死亡商人：信贷供给冲击对医院结果的影响

中文摘要

本研究考察信贷供给与医院健康结果之间的联系。我们将银行压力测试作为医院信贷可得性的外生冲击，这些医院与接受测试的银行存在信贷关系。我们发现，在遭受负向信贷冲击后，受影响的医院会调整运营以提高资源利用率，但在多项指标上降低了患者护理质量，其中包括经风险调整的再入院率和死亡率显著上升。研究结果表明，信贷可得性会影响医院所提供医疗服务的质量，揭示了信贷市场摩擦对健康结果的重要溢出效应。（JEL G21、G32、I11、I18）

Abstract

This study examines the link between credit supply and hospital health outcomes. We use bank stress tests as exogenous shocks to credit access for hospitals that have lending relationships with tested banks. We find that affected hospitals shift their operations to increase resource utilization following a negative credit shock but reduce the quality of their care to patients across a variety of measures, including a significant increase in risk-adjusted readmission and mortality rates. The results indicate that access to credit can affect the quality of health care hospitals deliver, pointing to important spillover effects of credit market frictions on health outcomes. (JEL G21, G32, I11, I18)