Abstract：
OBJECTIVE:Examine the endogenous relationship between uncompensated care and hospital patient experience scores. DATA SOURCES/STUDY SETTING:The Hospital Consumer Assessment of Healthcare Providers and Systems Survey, CMS Healthcare Cost Report Information System, and the US Census Bureau. STUDY DESIGN:The exogenous change in uncompensated care caused by the 2014 Medicaid expansion was exploited to measure the effect of uncompensated care on patient experience scores using a 2SLS regression with instrumental variables approach. DATA COLLECTION/EXTRACTION METHODS:U.S. general, short-term hospitals whose DSH status remained constant and had nonmissing data for 2011-2015, which totaled 969 unique hospitals per year. PRINCIPAL FINDINGS:The effect of uncompensated care on patient experience was in the predicted direction, with three of the 10 measures being statistically significant. A one percentage point increase in uncompensated care costs resulted in a 0.25-0.50 percentage point decrease in select patient experience scores. CONCLUSIONS:Results indicate a weak relationship between uncompensated care and patient experience scores, as a reduction in uncompensated care is related to quality improvement for some hospitals. These findings have implications for hospitals as they navigate changing reimbursement structures and policy makers considering changes to Obama-era health care reforms.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Camilleri S,Diebold Jdoi
10.1111/1475-6773.13111subject
Has Abstractpub_date
2019-06-01 00:00:00pages
603-612issue
3eissn
0017-9124issn
1475-6773journal_volume
54pub_type
杂志文章abstract：OBJECTIVE:This study investigated whether unexpected length of stay (LOS) could be used as an indicator to identify hospital patients who experienced complications or whose care exhibited low adherence to normative practices. DATA SOURCES AND STUDY SETTING:We analyzed 1,477 cases admitted for one of three medical cond...
journal_title：Health services research
pub_type： 杂志文章,评审
doi：
更新日期：1995-10-01 00:00:00
abstract：OBJECTIVE:To assess the relative impact of clinical factors versus nonclinical factors-such as postacute care (PAC) supply-in determining whether patients receive care from skilled nursing facilities (SNFs) or inpatient rehabilitation facilities (IRFs) after discharge from acute care. DATA SOURCES AND STUDY SETTING:Me...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2005.00365.x
更新日期：2005-04-01 00:00:00
abstract：OBJECTIVE:To evaluate the role of health plan benefit design and price on consumers' decisions to purchase health insurance in the nongroup market and their choice of plan. DATA SOURCES AND STUDY SETTING:Administrative data from the three largest nongroup insurers in California and survey data about those insured in t...
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
abstract：BACKGROUND:The Resource-Based Relative Value Scale Update Committee (RUC) submits recommended reimbursement values for physician work (wRVUs) under Medicare Part B. The RUC includes rotating representatives from medical specialties. OBJECTIVE:To identify changes in physician reimbursements associated with RUC rotating...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12857
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVE:To examine the impact of mandatory HMO enrollment for Medicaid-covered pregnant women on prenatal care use, smoking, Cesarean section (C-section) use, and birth weight. DATA SOURCES/STUDY SETTING:Linked birth certificate and Medicaid enrollment data from July 1993 to June 1998 in 10 Ohio counties, 6 that imp...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2004.00260.x
更新日期：2004-08-01 00:00:00
abstract：OBJECTIVE:The study used administrative data to identify the social determinants that have the greatest impact on Medicaid expenditures in adolescence. DATA SOURCES:Data were compiled using the Washington State Department of Social and Health Services Integrated Client Databases, which link data from state systems inc...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.13052
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVES:(1) To identify resident and organizational factors associated with the use of advance care plans pre- and post-implementation of the Patient Self-Determination Act (PSDA), and (2) to identify changes (pre- and post-implementation of the PSDA) in the relationship between these factors and the use of advance ...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：OBJECTIVE:To determine the impact of rising health insurance premiums on coverage rates. DATA SOURCES & STUDY SETTING:Our analysis is based on two cohorts of nonelderly Americans residing in 64 large metropolitan statistical areas (MSAs) surveyed in the Current Population Survey in 1989-1991 and 1998-2000. Measures of...
journal_title：Health services research
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1475-6773.2005.00409.x
更新日期：2005-08-01 00:00:00
abstract：OBJECTIVE:To understand patient loyalty to providers over time, informing effective population health management. STUDY SETTING:Patient care-seeking patterns over a 6-year timeframe in Minnesota, where care systems have a significant portion of their revenue generated by shared-saving contracts with public and private...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12147
更新日期：2014-06-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/1475-6773.13570
更新日期：2020-12-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2012.01437.x
更新日期：2013-02-01 00:00:00
abstract：OBJECTIVE:This study explores the impact of multiple-site practices on the distribution of physician services within a medical service region. DATA SOURCES AND STUDY SETTING:A questionnaire was mailed to all urologists (100 percent response rate) practicing in north central Connecticut (the Hartford medical service ar...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：OBJECTIVE:To examine the factors associated with delivery of preterm infants at neonatal intensive care unit (NICU) hospitals in Arkansas during the period 2001-2006, with a focus on the impact of a Medicaid supported intervention, Antenatal and Neonatal Guidelines, Education, and Learning System (ANGELS), that expande...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2011.01249.x
更新日期：2011-08-01 00:00:00
abstract：OBJECTIVE:To investigate whether the interaction between individual race/ethnicity and community racial/ethnic composition is associated with health-related home care use among elderly persons in the United States. DATA SOURCES:A nationally representative sample of community-dwelling elders aged 65+ from the 2000 to 2...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2010.01135.x
更新日期：2010-10-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1987-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1475-6773.2006.00677.x
更新日期：2007-02-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12463
更新日期：2016-12-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12486
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To demonstrate how expanding services covered by a "bundled payment" can also expand variation in the costs of treating patients under the bundle, using the Medicare dialysis program as an example. DATA SOURCES/STUDY SETTING:Observational claims-based study of 197,332 Medicare hemodialysis beneficiaries enro...
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doi：10.1111/1475-6773.12202
更新日期：2014-12-01 00:00:00
abstract：OBJECTIVES:To quantify racial and socioeconomic status (SES) disparities in oral health, as measured by tooth loss, and to determine the role of dental care use and other factors in explaining disparities. DATA SOURCES/STUDY SETTING:The Florida Dental Care Study, comprising African Americans (AAs) and non-Hispanic whi...
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doi：10.1111/j.1475-6773.2003.00205.x
更新日期：2003-12-01 00:00:00
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journal_title：Health services research
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doi：
更新日期：1996-04-01 00:00:00
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更新日期：2009-12-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/1475-6773.12581
更新日期：2017-10-01 00:00:00
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更新日期：2013-02-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2007.00820.x
更新日期：2008-06-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2006.00646.x
更新日期：2007-06-01 00:00:00
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更新日期：2011-12-01 00:00:00
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更新日期：2018-04-01 00:00:00
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journal_title：Health services research
pub_type： 杂志文章,多中心研究
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更新日期：2005-12-01 00:00:00
