Hospital ownership and cost and quality of care: is there a dime’s worth of difference?

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 M...

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Bibliographic Details
Published in:Journal of health economics 2001, Vol.20 (1), p.1-21
Main Authors: Sloan, Frank A, Picone, Gabriel A, Taylor, Donald H, Chou, Shin-Yi
Format: Article
Language:English
Subjects:
Aged
Data analysis
Health administration
Health care delivery
Health economics
Health expenditure
Hospital
Hospital Costs - statistics & numerical data
Hospital Mortality
Hospitals
Hospitals, Proprietary - economics
Hospitals, Proprietary - organization & administration
Hospitals, Proprietary - standards
Hospitals, Public - economics
Hospitals, Public - organization & administration
Hospitals, Public - standards
Hospitals, Voluntary - economics
Hospitals, Voluntary - organization & administration
Hospitals, Voluntary - standards
Humans
Instrumental variables
Mathematical analysis
Medicaid
Medicare
Models, Statistical
Mortality
Ownership
Patients
Payments
Profit
Public-Private comparison
Quality
Quality of care
Quality of Health Care - statistics & numerical data
Quality of service
Reimbursement
Statistical analysis
Studies
United States
USA
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Description
Summary: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.
ISSN:0167-6296
1879-1646
DOI:10.1016/S0167-6296(00)00066-7