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Hospital ownership and cost and quality of care: is there a dime's worth of difference?
被引:163
作者:
Sloan, FA
Picone, GA
Taylor, DH
Chou, SY
机构:
[1] Duke Univ, Ctr Hlth Policy Law & Management, Durham, NC 27708 USA
[2] Natl Bur Econ Res, Washington, DC 20017 USA
[3] Duke Univ, Dept Econ, Durham, NC 27708 USA
[4] Univ S Florida, Dept Econ, Gainesville, FL 32601 USA
[5] New Jersey Inst Technol, Dept Humanities & Social Sci, Newark, NJ 07102 USA
关键词:
hospital;
quality;
mortality;
instrumental variables;
D O I:
10.1016/S0167-6296(00)00066-7
中图分类号:
F [经济];
学科分类号:
02 ;
摘要:
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 shock were higher than for those admitted to other hospitals. With quality measured in terms of survival, changes in functional and cognitive status, and living arrangements, we found no differences in outcomes by hospital ownership. (C) 2001 Elsevier Science B.V. All rights reserved. JEL classification: I1; L3; L8.
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页码:1 / 21
页数:21
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