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Wednesday, May 6, 2020 | History

3 edition of Hospital ownership and quality of care found in the catalog.

Hospital ownership and quality of care

Hospital ownership and quality of care

what explains the different results?

  • 284 Want to read
  • 10 Currently reading

Published by National Bureau of Economic Research in Cambridge, Mass .
Written in English

    Subjects:
  • Hospitals -- Quality -- Mathematical models

  • Edition Notes

    StatementKaren Eggleston ... [et al.]
    SeriesNBER working paper series -- no. 12241., Working paper series (National Bureau of Economic Research) -- working paper no. 12241.
    ContributionsEggleston, Karen., National Bureau of Economic Research.
    The Physical Object
    Pagination20, [11] p. :
    Number of Pages20
    ID Numbers
    Open LibraryOL17630118M
    OCLC/WorldCa69179804

    Does quality of care systematically differ among government-owned, private not-for-profit, and for-profit hospitals? A large empirical literature provides conflicting evidance. Through quantitative review of 46 studies since , we find that several study features that can explain divergent results: analytic methods, disease studied, and data.   Regardless of hospital ownership type, our study results show that little time is spent on direct patient care. These outcomes have large ramifications on a physician's performance in the medical system, because direct patient care and contact was found to be of major significance for successful treatment [ 31 - 35 ].

    However, patients may be satisfied with poor quality care (Cleary, P. D. & McNeil, ). • Exercise 1: For each of the following, decide which question is mainly a rating and which is mainly a report about care quality. Thus, it is important to specify interpersonal aspects of high quality care and ask patients to report about those experiences. The quality of care delivered by U.S. acute care hospitals, as assessed according to these measures, improved markedly between and 5 However, because hospitals report aggregate data Cited by:

      Public hospitals in India function with scarce resources and meeting the expectations of highly qualified professionals at various levels may not be feasible through the organizations’ human resource practices, hence improving conditions at the workplace would be the most appropriate strategy for maintaining high quality of patient : Manisha Agarwal. Section of the Affordable Care Act of amended section of the Social Security Act to impose additional requirements for physician-owned hospitals to qualify for the whole hospital and rural provider exceptions. A physician-owned hospital is now .


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Hospital ownership and quality of care Download PDF EPUB FB2

This review investigated whether type of hospital (for-profit, not-for-profit, governmental) affected patient outcomes in the US, and what factors might explain any variations. Differences in data sources, time period and region caused differences in patient Hospital ownership and quality of care book between hospital types.

The lack of a validity assessment meant that the findings should be interpreted with by: Get this from a library. Hospital ownership and quality of care: what explains the different results?. [Karen Eggleston; National Bureau of Economic Research.;] -- "Does quality of care systematically differ among government-owned, private not-for-profit, and for-profit hospitals.

A large empirical literature provides conflicting evidence. NBER Working Paper No. Issued in August NBER Program(s):Health Care. This paper compares cost and quality of care for Medicare patients hospitalized in for-profit hospitals contrasted with those in nonprofit and government hospitals following admission for hip fracture, stroke, coronary heart disease, or congestive heart by: findings regarding hospital ownership and quality of care, as well as measures of benefits provided to a hospital’s surrounding community (i ncluding uncompensated care to the poor and uninsured.

This systematic review examines what factors explain the diversity of findings regarding hospital ownership and quality. We identified 31 observational studies written in English since that used multivariate analysis to examine quality of care at nonfederal general acute, short-stay US hospitals.

Nonprofit organizations may predominate when output quality is difficult to monitor. Hospital care has this characteristic.

This study compared program cost and quality of care for Medicare patients hospitalized following onset of four common conditions by hospital ownership. Payments on behalf of Medicare patients admitted to for-profit hospitals during the first 6 months following a health.

Associations between hospital ownership and and adverse patient outcomes differed according to a study's data source, the time period studied and the region of the US that was studied.

Studies that were representative of the US as a whole showed that for-profit hospitals had worse patient outcomes than not-for-profit private hospitals. Hospital care has this characteristic. This study compared program cost and quality of care for Medicare patients hospitalized following onset of four common conditions by hospital ownership.

Payments on behalf of Medicare patients admitted to for-profit hospitals during the first 6 months following a health shock were higher than for those Cited by: Hospital Ownership and Quality of Care: What Explains the Different Results.

Karen Eggleston, Yu-Chu Shen, Joseph Lau, Christopher H. Schmid, Jia Chan. NBER Working Paper No. Issued in May NBER Program(s):Health Care Does quality of care systematically differ among government-owned, private not-for-profit, and for-profit hospitals?Cited by: On balance, hospital ownership does not seem to make a difference on quality.

Of course, there may be other hard-to-measure outcomes that may be relevant, but we have studied the major ones.

Elsewhere, we assessed the probability of readmission to a hospital for the same diagnosis and found no differences by ownership (Sloan and Taylor, ).Cited by: "Hospital ownership and quality of care: what explains the different results in the literature?," Health Economics, John Wiley & Sons, Ltd., vol.

17(12), pages Full references (including those not matched with items on IDEAS)Cited by: 5. Hospital ownership and cost and quality of care. Cambridge, MA: National Bureau of Economic Research, © (OCoLC) Material Type: Internet resource: Document Type: Book, Internet Resource: All Authors / Contributors: Frank A Sloan; National Bureau of Economic Research.

Some studies have found that certain characteristics such as hospital ownership, bed-size and location influence hospital quality [6] [7][8]. For example, one study of 2, U.S. acute care. Search term. Hospital Ownership and the Practice of Medicine: Evidence from the Physician's Perspective.

Robert A. Musacchio, Stephen Zuckerman, Lynn E. Jensen, And Larry Freshnock. The last two decades have witnessed significant changes in the structure of the hospitalindustry.

While the total number of investor-owned hospitals has remained reasonably Cited by: 2. Our baseline specification for the effect of private ownership on hospital quality of planned care is the linear probability model (6) y i j = α j + δ H i + X ′ i β + ε i = α j + δ H i + X ′ i β + ξ i + ν i, where y ij is an indicator equal to one if patient i with a planned admission for treatment j is readmitted to any hospital Cited by: 5.

THE EFFECT OF HOSPITAL OWNERSHIP ON QUALITY OF CARE: EVIDENCE FROM ENGLAND by Giuseppe Moscelli, Hugh Gravelle, Luigi Siciliani, Nils Gutacker Countries differ in the mix of public and private hospitals treating publicly-funded patients.

For example, in the USA 60% of hospitals are private not-for-profit, 20% are private for-profit, and 20%. title = "The effect of hospital ownership on quality of care: evidence from England.", abstract = "We investigate whether quality of care differs between public and private hospitals in England with data on million publicly-funded patients receiving planned (non-emergency) treatments in public and private hospitalsites.

Other measures of quality, including living in the community and activity of daily living limitations after index admission, show trivial differences by hospital ownership type.

Between private sector hospital types (for-profit and nonprofit) there is indeed not a dime's worth of difference between the two in terms of cost to Medicare and Cited by: Quality of care A PROCESS FOR MAKING STRATEGIC CHOICES IN HEALTH SYSTEMS ISBN 92 4 9 This guide provides decision-makers and managers at country level with a systematic process which will allow them to design and implement effective interventions to promote quality in health systems.

It focuses particular attention on people who. Monitoring the Quality of Hospital Care 2 to provide healthcare. Equally important are the activities, or processes, involved in providing care and services. These inputs and processes result in an outcome. Table 1 presents a systems view of some hospital services.

Hospitals are complex systems. Many services, such as rendering emergency. Measuring the Quality of Hospital Care Initiatives for measuring and reporting the quality of hospital care have expanded in recent years. Current hospital measurement sets are rapidly evolving to meet consumer needs for information about clinical effectiveness, health outcomes, patient safety, and patient experiences with care.This systematic review examines what factors explain the diversity of findings regarding hospital ownership and quality.

We identified 31 observational studies written in English since that used multivariate analysis to examine quality of care at nonfederal general acute, short-stay US hospitals.

We find that pooled estimates of ownership effects are sensitive to the.Highlights This study investigates how hospital ownership type and patient insurance type affect treatment choices.

Hospital treatment choices differ significantly by ownership type of the hospital and by insurance type of the patients. Considering treatment choices, not-for-profit hospitals have different objectives than for-profit and government hospitals. In terms of profit-seeking behavior.