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Project Citation: 

Otero, Cristóbal, and Muñoz, Pablo. Data and Code for: Managers and Public Hospital Performance. Nashville, TN: American Economic Association [publisher], 2025. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2025-09-25. https://doi.org/10.3886/E234421V1

Project Description

Summary:  View help for Summary We study whether the quality of managers can affect public service provision in the context of public health. Using novel data from public hospitals in Chile, we show how the introduction of a competitive recruitment system and better pay for public hospital CEOs reduced hospital mortality by 8%. The effect is not explained by a change in patient composition. We find that the policy changed the pool of CEOs by displacing doctors with no management training in favor of CEOs who had studied management. Productivity improvements were driven by hospitals that recruited higher quality CEOs.

Scope of Project

Subject Terms:  View help for Subject Terms Health outcomes; public sector management; civil service; mortality rates
JEL Classification:  View help for JEL Classification
      H11 Structure, Scope, and Performance of Government
      H40 Publicly Provided Goods: General
      I18 Health: Government Policy; Regulation; Public Health
      M50 Personnel Economics: General
Geographic Coverage:  View help for Geographic Coverage Chile
Time Period(s):  View help for Time Period(s) 2005 – 2019
Data Type(s):  View help for Data Type(s) administrative records data


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