The effects of cardiac specialty hospitals on the cost and quality of medical care.
J Health Econ
; 25(4): 702-21, 2006 Jul.
Article
en En
| MEDLINE
| ID: mdl-16337289
The recent rise of specialty hospitals--typically for-profit firms that are at least partially owned by physicians--has led to substantial debate about their effects on the cost and quality of care. Advocates of specialty hospitals claim they improve quality and lower cost; critics contend they concentrate on providing profitable procedures and attracting relatively healthy patients, leaving (predominantly nonprofit) general hospitals with a less-remunerative, sicker patient population. We find support for both sides of this debate. Markets experiencing entry by a cardiac specialty hospital have lower spending for cardiac care without significantly worse clinical outcomes. In markets with a specialty hospital, however, specialty hospitals tend to attract healthier patients and provide higher levels of intensive procedures than general hospitals.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Calidad de la Atención de Salud
/
Cardiología
/
Hospitales Especializados
Tipo de estudio:
Health_economic_evaluation
Límite:
Aged
/
Aged80
/
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Health Econ
Asunto de la revista:
HOSPITAIS
/
SERVICOS DE SAUDE
Año:
2006
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Países Bajos