The Volume-Outcome Relationship and Minimum Volume Standards – Empirical Evidence for Germany
Article first published online: 3 APR 2014
Copyright © 2014 John Wiley & Sons, Ltd.
Volume 24, Issue 6, pages 644–658, June 2015
How to Cite
2015), The Volume-Outcome Relationship and Minimum Volume Standards – Empirical Evidence for Germany. Health Econ., 24, 644–658. doi: 10.1002/hec.3051., and (
- Issue published online: 17 APR 2015
- Article first published online: 3 APR 2014
- Manuscript Accepted: 25 FEB 2014
- Manuscript Revised: 19 FEB 2014
- Manuscript Received: 22 APR 2013
- minimum volume standards;
- hospital quality;
For decades, there is an ongoing discussion about the quality of hospital care leading i.a. to the introduction of minimum volume standards in various countries. In this paper, we analyze the volume-outcome relationship for patients with intact abdominal aortic aneurysm and hip fracture. We define hypothetical minimum volume standards in both conditions and assess consequences for access to hospital services in Germany. The results show clearly that patients treated in hospitals with a higher case volume have on average a significant lower probability of death in both conditions. Furthermore, we show that the hypothetical minimum volume standards do not compromise overall access measured with changes in travel times. Copyright © 2014 John Wiley & Sons, Ltd.