Health System Consolidation and Diabetes Care Performance at Ambulatory Clinics.

ABSTRACT:

Objective

We addressed two questions regarding health system consolidation through the acquisition of ambulatory clinics: (1) Was increasing health system size associated with improved diabetes care performance and (2) Did the diabetes care performance of acquired clinics improve postacquisition?

Data sources/study setting

Six hundred sixty-one ambulatory clinics in Minnesota and bordering states that reported performance data from 2007 to 2013.

Study design

We employed fixed effects regression to determine if increased health system size and being acquired improved clinics' performance. Using our regression results, we estimated the average effect of consolidation on the performance of clinics that were acquired during our study.

Data collection/extraction methods

SUBMITTER: Crespin DJ 

PROVIDER: S-EPMC5034206 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature