Hospital Religious Affiliation and Outcomes for High-Risk Infants

The effect of hospital organizational affiliation on perinatal outcomes is unknown. Using the 2004 American Hospital Association Annual Survey and Healthcare Cost and Utilization Project State Inpatient Databases, the authors examined relationships among organizational affiliation, equipment and ser...

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Bibliographic Details
Published in:Medical care research and review 2012-06, Vol.69 (3), p.316-338
Main Authors: Garrido, Melissa M., Allison, Kirk C., Bergeron, Mark J., Dowd, Bryan
Format: Article
Language:English
Subjects:
Babies
Birth weight
Congenital diseases
Decision Making
Female
Health care
Health care industry
Health Services Research
Hospital Mortality
Hospitals
Hospitals, Religious
Humans
Infant, Extremely Low Birth Weight
Infant, Newborn
Infant, Very Low Birth Weight
Infants
Intensive Care Units, Neonatal
Male
Mortality
Nonprofit making organizations
Pregnancy
Pregnancy Outcome
Religion
Religious affiliation
Risk Factors
United States - epidemiology
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Summary:The effect of hospital organizational affiliation on perinatal outcomes is unknown. Using the 2004 American Hospital Association Annual Survey and Healthcare Cost and Utilization Project State Inpatient Databases, the authors examined relationships among organizational affiliation, equipment and service availability and provision, and in-hospital mortality for 5,133 infants across five states born with very low and extremely low birth weight and congenital anomalies. In adjusted bivariate probit selection models, the authors found that government hospitals had significantly higher mortality rates than not-for-profit nonreligious hospitals. Mortality differences among other types of affiliation (Catholic, not-for-profit religious, not-for-profit nonreligious, and for-profit) were not statistically significant. This is encouraging as health care reform efforts call for providers at facilities with different institutional values to coordinate care across facilities. Although there are anecdotes of facility religious affiliation being related to health care decisions, the authors did not find evidence of these relationships in their data.
ISSN:1077-5587
1552-6801
DOI:10.1177/1077558711432156