MARKET COMPETITION & SAFETY NET HOSPITALS

市场竞争

• 批准号: 6602714
• 负责人: JACK ZWANGIGER
• 金额: $ 6.7万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-07-01 至 2003-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6602714
• 关键词: behavioral /social science research tag; clinical research; health economics; health services research tag; hospital analysis; human data; managed care; medically underserved population

This project will use data from the American Hospital Association Annual Survey of Hospitals, a survey of managed care organizations, the State Inpatient Database (SID), and several additional data sources to compare safety net and non-safety net hospitals on a variety of dimensions of performance. Specifically, the project will assess differential effects of health care market structure on safety net and non-safety net hospitals with regard to participation in hospital systems and managed care networks, financial performance, service offerings, and provision of charity care.. The project's methodologic contributions will consist of exploring alternative approaches for identifying and classifying safety net hospitals, and using hospital financial data from selected states and the discharge data from the SID to develop and validate measures of charity care based on discharge data.

该项目将使用来自美国医院协会医院年度调查、管理式医疗组织调查、州住院患者数据库 (SID) 和其他几个数据源的数据，从多个维度比较安全网医院和非安全网医院的性能。具体来说，该项目将评估医疗保健市场结构对安全网和非安全网医院在参与医院系统和管理式医疗网络、财务绩效、服务提供和慈善医疗提供方面的不同影响。 该项目的方法论贡献将包括探索识别和分类安全网医院的替代方法，以及使用选定州的医院财务数据和 SID 的出院数据来制定和验证基于出院数据的慈善护理措施。