Impact of Health System Affiliation on Hospital Resource Use Intensity and Quality of Care.

ABSTRACT:

Objective

To assess the impact of hospital affiliation, centralization, and managed care plan ownership on inpatient cost and quality.

Data sources

Inpatient discharges from 3,957 community hospitals in 44 states and American Hospital Association Annual Survey data from 2010 to 2012.

Study design

We conducted a retrospective longitudinal regression analysis using hierarchical modeling of discharges clustered within hospitals.

Data collection

Detailed discharge data including costs, length of stay, and patient characteristics from the Healthcare Cost and Utilization Project State Inpatient Databases were merged with hospital survey data from the American Hospital Association.

Principal findings

Hospitals affiliated with health systems had a higher cost pe

SUBMITTER: Henke RM 

PROVIDER: S-EPMC5785316 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature