Are For-Profit Hospital Conversions Harmful to Patients and to Medicare?  

Oleh:

Picone, Gabriel ; Sloan, Frank ; Shin-Yi, Chou ; Chou, Shin-Yi

Jenis: Article from Bulletin/Magazine
Dalam koleksi: The Rand Journal of Economics vol. 33 no. 3 (2002), page 507-523.
Topik: HOSPITAL; for - profit; hospital conversions; patients; medicare

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: RR10.7 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

We examine how changes in hospital ownership to and from for - profit status affect quality and Medicare payments per hospital stay. We hypothesize that hospitals converting to for - profit ownership boost postacquisition profitability by reducing dimensions of quality not readily observed by patients and by raising prices. We find that 1 - 2 years after conversion to for - profit status, mortality of patients, which is difficult for outsiders to monitor, increases while hospital profitability rises markedly and staffing decreases. Thereafter, the decline in quality is much lower. A similar decline in quality is not observed after hospitals switch from for - profit to government or private nonprofit status.

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