Hospital ownership and quality of care: what explains the different results?
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Authors
Eggleston, Karen
Shen, Yu-Chu
Schmid, Christopher H.
Chan, Jia
Subjects
quality of care
hospital ownership
hospital ownership
Advisors
Date of Issue
2006-05
Date
Publisher
National Bureau of Economic Research
Language
Abstract
Does quality of care systematically differ among government-owned, private not-for-profit, and for-profit hospitals? A large empirical literature provides conflicting evidance. Through quantitative review of 46 studies since 1990, we find that several study features that can explain divergent results: analytic methods, disease studied, and data sources. For unprofitable care, how studies handle market competition and regional differences account for substantial variation. Policymakers should be aware that differences in results appear to arise predominately from differences between studies' analytic methods. Moreover, conventional methods of meta-analysis synthesis should be applied with great caution given the considerable overlap among studied hospitals.
Type
Book
Description
Series/Report No
Department
Graduate School of Business & Public Policy (GSBPP)
Organization
Naval Postgraduate School (U.S.)
Identifiers
NPS Report Number
Sponsors
Funder
Format
Citation
NBER Working Paper No. 12241
Distribution Statement
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.