A comparison of contract-managed and traditionally managed nonprofit hospitals.

Abstract:

:During the past five years, contract management of nonprofit hospitals by for-profit corporations has increased markedly. However, while a number of studies have been conducted on investor-owned hospitals and proprietary hospital systems, contract-managed hospitals have not been evaluated systematically. This paper reports a pilot study which compares a sample of 32 nonprofit hospitals under management contracts with matched hospitals uneder traditional in-house management. Although few major differences were found between the study hospitals, the findings indicate that contract-managed hospitals tend to offer a somewhat broader range of services, especially in the outpatient area, younger, more highly educated administrators, and show lower cost per patient stay largely due to somewhat lower employee-to-bed and payroll-to-total expense ratios and shorter lengths of stay.

journal_name

Med Care

journal_title

Medical care

authors

Biggs EL,Kralewski JE,Brown GD

doi

10.1097/00005650-198006000-00002

subject

Has Abstract

pub_date

1980-06-01 00:00:00

pages

585-96

issue

6

eissn

0025-7079

issn

1537-1948

journal_volume

18

pub_type

杂志文章
  • Evaluation of index and profile measures of health status in a randomized controlled trial. Comparison of the Medical Outcomes Study 36-Item Short Form Health Survey, EuroQol, and disease specific measures.

    abstract:OBJECTIVES:The authors compare two generic measures of health status with disease-specific measures in a randomized controlled trial of transurethral resection of the prostate with laser vaporization prostatectomy for benign prostatic hypertrophy. METHODS:Patients entered into the trial completed the following questio...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-199711000-00003

    authors: Jenkinson C,Gray A,Doll H,Lawrence K,Keoghane S,Layte R

    更新日期:1997-11-01 00:00:00

  • Physician response to patient insurance status in ambulatory care clinical decision-making. Implications for quality of care.

    abstract:OBJECTIVES:Individuals without health insurance in general receive fewer health services and are more likely than insured patients to experience poor outcomes. The main goal of this research was to study whether physicians' clinical recommendations vary for insured and uninsured patients, implying that physicians' choi...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-199608000-00006

    authors: Mort EA,Edwards JN,Emmons DW,Convery K,Blumenthal D

    更新日期:1996-08-01 00:00:00

  • Validation of a 10-item care-related regret intensity scale (RIS-10) for health care professionals.

    abstract:BACKGROUND:Regret after one of the many decisions and interventions that health care professionals make every day can have an impact on their own health and quality of life, and on their patient care practices. OBJECTIVES:To validate a new care-related regret intensity scale (RIS) for health care professionals. RESEA...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318280f02c

    authors: Courvoisier DS,Cullati S,Haller CS,Schmidt RE,Haller G,Agoritsas T,Perneger TV

    更新日期:2013-03-01 00:00:00

  • A comparison of four indirect methods of assessing utility values in rheumatoid arthritis.

    abstract:OBJECTIVES:Utility scores can be assessed indirectly using preference-based instruments and used as weightings for quality-adjusted life years in economic analyses. It is not clear whether available instruments yield similar results or what domains of health are contributing to the overall score in a sample of patients...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200411000-00012

    authors: Marra CA,Esdaile JM,Guh D,Kopec JA,Brazier JE,Koehler BE,Chalmers A,Anis AH

    更新日期:2004-11-01 00:00:00

  • An Electronic Health Record-based Algorithm to Ascertain the Date of Second Breast Cancer Events.

    abstract:OBJECTIVES:Studies of cancer recurrences and second primary tumors require information on outcome dates. Little is known about how well electronic health record-based algorithms can identify dates or how errors in dates can bias analyses. RESEARCH DESIGN:We assessed rule-based and model-fitting approaches to assign ev...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000352

    authors: Chubak J,Onega T,Zhu W,Buist DSM,Hubbard RA

    更新日期:2017-12-01 00:00:00

  • The Parent Report Form of the CHIP-Child Edition: reliability and validity.

    abstract:BACKGROUND:Valid, comprehensive instruments to describe, monitor, and evaluate health from childhood through adolescence are almost nonexistent, but are critical for health resource planning, evaluation of policy, preventive, and clinical interventions, and understanding trajectories of health during this important per...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000114909.33878.ca

    authors: Riley AW,Forrest CB,Starfield B,Rebok GW,Robertson JA,Green BF

    更新日期:2004-03-01 00:00:00

  • Valuing the SF-6Dv2 Classification System in the United Kingdom Using a Discrete-choice Experiment With Duration.

    abstract:OBJECTIVE:An updated version of the SF-6D Classification System (SF-6Dv2) has been developed, and utility value sets are required. The aim of this study was to test the development of a United Kingdom SF-6Dv2 value set, and address limitations of the existing SF-6D value set (which results in a narrow range of utilitie...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001324

    authors: Mulhern BJ,Bansback N,Norman R,Brazier J,SF-6Dv2 International Project Group.

    更新日期:2020-06-01 00:00:00

  • Impact of an Advanced Imaging Utilization Review Program on Downstream Health Care Utilization and Costs for Low Back Pain.

    abstract:BACKGROUND:Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES:To assess the impact of a state policy implemented in June 2010 that required prospect...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000917

    authors: Graves JM,Fulton-Kehoe D,Jarvik JG,Franklin GM

    更新日期:2018-06-01 00:00:00

  • Association of physician and hospital volume with use of aspirin and reperfusion therapy in acute myocardial infarction.

    abstract:BACKGROUND:The association between volume of patients treated and quality of care has important implications for patient referral policies and approaches to quality improvement. Most studies have focused on hospital volume alone and health outcomes. OBJECTIVES:The objective of this work was to examine the association ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200011000-00004

    authors: Willison DJ,Soumerai SB,Palmer RH

    更新日期:2000-11-01 00:00:00

  • Insurance continuity and receipt of diabetes preventive care in a network of federally qualified health centers.

    abstract:BACKGROUND AND OBJECTIVES:Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in affecting receipt of ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/mlr.0b013e318190ccac

    authors: Gold R,DeVoe J,Shah A,Chauvie S

    更新日期:2009-04-01 00:00:00

  • Application of functional independence measure-function related groups and resource utilization groups-version III systems across post acute settings.

    abstract:OBJECTIVES:The present study evaluated alternative patient classification systems for skilled nursing facility and rehabilitation facility patients. METHODS:Medicare patients were selected from a random sample of 27 rehabilitation facilities and 65 skilled nursing facilities participating in a national longitudinal st...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199805000-00009

    authors: Eilertsen TB,Kramer AM,Schlenker RE,Hrincevich CA

    更新日期:1998-05-01 00:00:00

  • Interpreting Patient-reported Outcome Scores for Clinical Research and Practice: Definition, Determination, and Application of Cutpoints.

    abstract:OBJECTIVES:Cutpoints are specific numeric values used to create discrete categories for patient-reported outcome (PRO) items or scales. Cutpoints are widely used in both clinical research and practice. This article offers a definition for cutpoints, describes strategies for determining actionable cutpoints, and discuss...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001062

    authors: Shi Q,Mendoza TR,Cleeland CS

    更新日期:2019-05-01 00:00:00

  • Underutilization of antihypertensive drugs and associated hospitalization.

    abstract::The association of underutilization of drugs prescribed for the treatment of hypertension and acute-care hospital readmissions was evaluated. The data base consisted of computerized hospitalization records and computerized out-patient pharmacy records, checked by chart audit for validity. The number of days' supply of...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198912000-00007

    authors: Maronde RF,Chan LS,Larsen FJ,Strandberg LR,Laventurier MF,Sullivan SR

    更新日期:1989-12-01 00:00:00

  • A comparison of clinical performance of primary care and traditional internal medicine residents.

    abstract:OBJECTIVE:To compare primary care and traditional Internal Medicine residents in their adherence to preventive medicine guidelines, performance in the management of chronic diseases, and utilization of resources. DESIGN:Prospective cohort study. SETTING:Urban Internal Medicine residency program. PARTICIPANTS:Sixteen...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199908000-00007

    authors: Wong MD,Hollenberg JP,Charlson ME

    更新日期:1999-08-01 00:00:00

  • Changes in follow-up care for Medicare surgical patients under the prospective payment system.

    abstract::In this study, changes in the number, site, and source of follow-up visits and allowed charges were examined for follow-up visits provided to Medicare surgical patients between 1984 and 1986. Among the 21 surgical procedures studied, follow-up visits decreased by 5.2%, after adjusting for case mix. Despite the physici...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199303000-00005

    authors: Kominski GF,Biddle AK

    更新日期:1993-03-01 00:00:00

  • Accurately predicting bipolar disorder mood outcomes: implications for the use of electronic databases.

    abstract:BACKGROUND:Monitoring mental health treatment outcomes for populations requires an understanding as to which patient information is needed in electronic format and is feasible to obtain in routine care. OBJECTIVE:To examine whether bipolar disorder outcomes can be accurately predicted and how much clinical detail is n...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3182422aec

    authors: Busch AB,Neelon B,Zelevinsky K,He Y,Normand SL

    更新日期:2012-04-01 00:00:00

  • Improving adherence to screening follow-up among women with abnormal Pap smears: results from a large clinic-based trial of three intervention strategies.

    abstract::In a large randomized trial involving over 2,000 women with abnormal cervical cytology (pap smear), three clinic-based interventions were tested as strategies to increase return rates for screening follow-up: 1) a personalized follow-up letter and pamphlet; 2) a slide-tape program on pap smears; and 3) transportation ...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-199203000-00004

    authors: Marcus AC,Crane LA,Kaplan CP,Reading AE,Savage E,Gunning J,Bernstein G,Berek JS

    更新日期:1992-03-01 00:00:00

  • Patient attitudes about two forms of printed oral contraceptive information.

    abstract::The desired form and style of written drug information for patients were assessed in a national survey of oral contraceptive (OC) users. These women were queried about two forms of OC information: a short insert included with dispensed drugs and a longer brochure delivered by the physician upon patient request. Longer...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197812000-00008

    authors: Mazis M,Morris LA,Gordon E

    更新日期:1978-12-01 00:00:00

  • Pharmacy-and diagnosis-based risk adjustment for children with Medicaid.

    abstract:BACKGROUND:Risk adjustment is useful for adjusting health care payments based on patients' health status. OBJECTIVE:This work seeks to examine how well pharmacy- and diagnosis-based risk adjusters predict child health expenditures in Medicaid populations. RESEARCH DESIGN:We used 1994-1995 Medicaid claims files for al...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000182551.87591.73

    authors: Kuhlthau K,Ferris TG,Davis RB,Perrin JM,Iezzoni LI

    更新日期:2005-11-01 00:00:00

  • Using medical records for older patient education in ambulatory practice.

    abstract::The effectiveness of sharing medical records in improving physician-older patient communication was evaluated in 203 ambulatory chronically ill older patients (mean age, 70.1 years) by a randomized controlled trial. Ninety-five experimental group patients received copies of their physicians' progress notes 1 week afte...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-198604000-00004

    authors: Bronson DL,Costanza MC,Tufo HM

    更新日期:1986-04-01 00:00:00

  • The health interview survey and minority health.

    abstract::This article emphasizes the advantages and disadvantages of the National Center for Health Statistics Health Interview Surveys (HIS) when applied to the needs of ethnic minorities at the local level. While HIS gives information on health status of minorities and their use of services at the national level, this inform...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198003000-00006

    authors: Salber EJ,Beza AG

    更新日期:1980-03-01 00:00:00

  • Prior authorization policies for selective cyclooxygenase-2 inhibitors in Medicaid: a policy review.

    abstract:BACKGROUND:Many state Medicaid programs use prior authorization programs to limit spending on cyclooxygenase-2 selective nonsteroidal anti-inflammatory drugs (coxibs). However, the evidence base for the prior authorization criteria has not been examined previously. METHODS:We determined whether prior authorization was...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000218775.04675.fd

    authors: Fischer MA,Cheng H,Schneeweiss S,Avorn J,Solomon DH

    更新日期:2006-07-01 00:00:00

  • The Early Impact of the Centers for Medicare & Medicaid Services State Innovation Models Initiative on 30-Day Hospital Readmissions Among Adults With Diabetes.

    abstract:BACKGROUND:The Centers for Medicare & Medicaid Services (CMS) State Innovation Models (SIM) Initiative funds states to accelerate delivery system and payment reforms. All SIM states focus on improving diabetes care, but SIM's effect on 30-day readmissions among adults with diabetes remains unclear. METHODS:A quasi-exp...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001276

    authors: Rodríguez HP,Fulton BD,Phillips AZ

    更新日期:2020-06-01 00:00:00

  • Predictors of patients' perceived need for medication to prevent fracture.

    abstract:BACKGROUND:Adherence with medications to prevent fractures is suboptimal. Patients' perceived need for medication is an important predictor of medication-use behavior. OBJECTIVE:Estimate the associations of patients' perceived need of medication for fracture prevention with objective indicators of fracture risk, patie...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318202915e

    authors: Schousboe JT,Davison ML,Dowd B,Thiede Call K,Johnson P,Kane RL

    更新日期:2011-03-01 00:00:00

  • Work settings and job satisfaction: a study of primary care physicians and paramedical personnel.

    abstract::This paper examines job satisfaction of primary care physicians and paramedical personnel in traditional office practices and in modern medical organizations. A series of two-way analyses of variance using work settings and occupational level as independent variables showed consistent effects of setting on job satisfa...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197810000-00005

    authors: Breslau N,Novack AH,Wolf G

    更新日期:1978-10-01 00:00:00

  • Influence of Peer Physicians on Intensity of End-of-Life Care for Cancer Decedents.

    abstract:BACKGROUND:The intensity of end-of-life care varies substantially both within and between areas. Differing practice patterns of individual physicians are likely influenced by their peers. OBJECTIVE:To assess whether intensity of end-of-life care previously provided by a physician's peers influences patterns of care at...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001124

    authors: Keating NL,O'Malley AJ,Onnela JP,Gray SW,Landon BE

    更新日期:2019-06-01 00:00:00

  • The role of public insurance and the public delivery system in improving birth outcomes for low-income pregnant women.

    abstract:BACKGROUND:Insurance expansions and service delivery system expansions are alternative policy instruments used to try to improve birth outcomes for low-income women. OBJECTIVES:The objective of this research is to investigate the effect of expansions of public insurance on access and birth outcomes for pregnant women ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200211000-00006

    authors: Susan Marquis M,Long SH

    更新日期:2002-11-01 00:00:00

  • Failure to rescue: validation of an algorithm using administrative data.

    abstract:BACKGROUND:Failure to rescue (FTR), the rate of death in patients suffering 1 of 6 in-hospital complications, is an Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator calculated from administrative data. OBJECTIVE:: We sought to assess the accuracy of the AHRQ FTR algorithm. METHODS:We underto...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000250226.33094.d4

    authors: Horwitz LI,Cuny JF,Cerese J,Krumholz HM

    更新日期:2007-04-01 00:00:00

  • The effect of improving primary care depression management on employee absenteeism and productivity. A randomized trial.

    abstract:OBJECTIVE:To test whether an intervention to improve primary care depression management significantly improves productivity at work and absenteeism over 2 years. SETTING AND SUBJECTS:Twelve community primary care practices recruiting depressed primary care patients identified in a previsit screening. RESEARCH DESIGN:...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-200412000-00007

    authors: Rost K,Smith JL,Dickinson M

    更新日期:2004-12-01 00:00:00

  • Urban parents' knowledge and practices regarding managed care.

    abstract:BACKGROUND:Managed care is the dominant form of health insurance in the United States, covering millions of children. Little is known about whether inner-city parents adequately understand managed care's complex definitions and rules. OBJECTIVE:The objective of this study was to examine managed care knowledge and prac...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000118708.21532.de

    authors: Flores G,Abreu M,Sun D,Tomany SC

    更新日期:2004-04-01 00:00:00