Abstract:
OBJECTIVE:To estimate the effects of competition for both Medicare and HMO patients on the quality decisions of hospitals in Southern California. DATA SOURCE:Secondary discharge data from the Office of Statewide Health Planning and Development for the State of California for the period 1989-1993. STUDY DESIGN:Outcome variables are the risk-adjusted hospital mortality rates for pneumonia (estimated by the authors) and acute myocardial infarction (AMI) (reported by the state of California). Measures of competition are constructed for each hospital and payer type. The competition measures are formulated to mitigate the possibility of endogeneity bias. The relationships between risk-adjusted mortality and the different competition measures are estimated using ordinary least squares. PRINCIPAL FINDINGS:The study finds that an increase in the degree of competition for health maintenance organization (HMO) patients is associated with a decrease in risk-adjusted hospital mortality rates. Conversely, an increase in competition for Medicare enrollees is associated with an increase in risk-adjusted mortality rates for hospitals. CONCLUSIONS:In conjunction with previous research, the estimates indicate that increasing competition for HMO patients appears to reduce prices and save lives and hence appears to improve welfare. However, increases in competition for Medicare appear to reduce quality and may reduce welfare. Increasing competition has little net effect on hospital quality in our sample.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Gozvrisankaran G,Town RJdoi
10.1111/j.1475-6773.2003.00185.xkeywords:
subject
Has Abstractpub_date
2003-12-01 00:00:00pages
1403-21issue
6 Pt 1eissn
0017-9124issn
1475-6773journal_volume
38pub_type
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2012.01413.x
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To explain the association of out-of-pocket (OOP) cost, community-level factors, and individual characteristics on statin therapy nonadherence. DATA SOURCES:BlueCross BlueShield of Texas claims data for the period of 2008-2011. STUDY DESIGN:A retrospective cohort of 49,176 insured patients, aged 18-64 years...
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pub_type: 杂志文章
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journal_title:Health services research
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.13551
更新日期:2020-10-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:2000-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-10-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
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pub_type: 杂志文章
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更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:To examine the association between bodyweight status and provision of population-based prevention services. DATA SOURCES:The National Association of City and County Health Officials 2005 Profile survey data, linked with two cross-sections of the Behavioral Risk Factor Surveillance System (BRFSS) survey in 20...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2012.01447.x
更新日期:2013-04-01 00:00:00
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doi:10.1111/1475-6773.12522
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pub_type: 杂志文章
doi:10.1111/j.1475-6773.2011.01355.x
更新日期:2012-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1475-6773.2004.00270.x
更新日期:2004-08-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:1980-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/1475-6773.12276
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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更新日期:2007-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/1475-6773.12178
更新日期:2014-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1475-6773.2010.01126.x
更新日期:2010-12-01 00:00:00
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doi:10.1111/1475-6773.13061
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更新日期:2012-06-01 00:00:00
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doi:10.1111/j.1475-6773.2007.00762.x
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doi:10.1111/1475-6773.13585
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1992-08-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
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doi:
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更新日期:2018-12-01 00:00:00
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更新日期:2015-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2002-08-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2007.00726.x
更新日期:2007-12-01 00:00:00