Hospital competition, managed care, and mortality after hospitalization for medical conditions in California.

ABSTRACT:

Objective

To assess the effect of hospital competition and health maintenance organization (HMO) penetration on mortality after hospitalization for six medical conditions in California.

Data source

Linked hospital discharge and vital statistics data for short-term general hospitals in California in the period 1994-1999. The study sample included adult patients hospitalized for one of the following conditions: acute myocardial infarction (N=227,446), hip fracture (N=129,944), stroke (N=237,248), gastrointestinal hemorrhage (GIH, N=216,443), congestive heart failure (CHF, N=355,613), and diabetes (N=154,837).

Study design

The outcome variable was 30-day mortality. We estimated multivariate logistic regression models for each study condition with hospital competition, HM

SUBMITTER: Rogowski J 

PROVIDER: S-EPMC1955358 | biostudies-literature | 2007 Apr

REPOSITORIES: biostudies-literature