| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w12335 |
| 来源ID | Working Paper 12335 |
| Hospital Competition, Managed Care and Mortality After Hospitalization for Medical Conditions: Evidence From Three States | |
| José J. Escarce; Arvind K. Jain; Jeannette Rogowski | |
| 发表日期 | 2006-06-26 |
| 出版年 | 2006 |
| 语种 | 英语 |
| 摘要 | This study assessed the effect of hospital competition and HMO penetration on mortality after hospitalization for six medical conditions in California, New York, and Wisconsin. We used linked hospital discharge and vital statistics data to study adults hospitalized for myocardial infarction, hip fracture, stroke, gastrointestinal hemorrhage, congestive heart failure, or diabetes. We estimated logistic regression models with death within 30 days of admission as the dependent variable and hospital competition, HMO penetration, and hospital and patient characteristics as explanatory variables. Higher hospital competition was associated with lower mortality in California and New York, but not Wisconsin. In addition, higher HMO penetration was associated with lower mortality in California, but higher mortality in New York. In the context of the study states%u2019 history with managed care, these findings suggest that hospitals in highly competitive markets compete on quality even in the absence of mature managed care markets. The findings also underscore the need to consider geographic effects in studies of market structure and hospital quality. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w12335 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/569992 |
| 推荐引用方式 GB/T 7714 | José J. Escarce,Arvind K. Jain,Jeannette Rogowski. Hospital Competition, Managed Care and Mortality After Hospitalization for Medical Conditions: Evidence From Three States. 2006. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w12335.pdf（176KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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