Variable surgical outcomes after hospital consolidation: Implications for local health care delivery.

ABSTRACT:

Background

With more hospital consolidations as an inevitable part of our future health care ecosystem, we investigated the relationship between hospital consolidations and operative outcomes.

Methods

Using the Health Care Cost and Utilization Project State Inpatient Database (Florida and California), the American Hospital Association Annual Survey Database, and Medicare's Case Mix Index data, we identified 19 hospitals that consolidated between 2007 and 2013 and propensity matched them with 19 independent hospitals, using patient and hospital characteristics. One year before consolidation and again 1 year after, we used difference-in-differences analysis to compare changes in the risk-adjusted complication rate of 7 elective operations performed in the consolidated hospital

SUBMITTER: Chang V 

PROVIDER: S-EPMC5124379 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature