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dc.contributor.author Picone, G
dc.contributor.author Chou, SY
dc.contributor.author Sloan, F
dc.coverage.spatial United States
dc.date.accessioned 2010-06-28T19:05:22Z
dc.date.issued 2002
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/12585305
dc.identifier.citation Rand J Econ, 2002, 33 (3), pp. 507 - 523
dc.identifier.issn 0741-6261
dc.identifier.uri http://hdl.handle.net/10161/2632
dc.description.abstract 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 post acquisition 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.
dc.format.extent 507 - 523
dc.format.mimetype application/pdf
dc.language eng
dc.language.iso en_US
dc.relation.ispartof Rand J Econ
dc.subject Empirical Approach
dc.subject Health Care and Public Health
dc.subject Diagnosis-Related Groups
dc.subject Economics, Hospital
dc.subject Hospital Bed Capacity
dc.subject Hospital Mortality
dc.subject Hospital Restructuring
dc.subject Hospitals, Proprietary
dc.subject Hospitals, Public
dc.subject Hospitals, Voluntary
dc.subject Humans
dc.subject Medicare
dc.subject Ownership
dc.subject Personnel Staffing and Scheduling
dc.subject Quality of Health Care
dc.subject United States
dc.title Are for-profit hospital conversions harmful to patients and to Medicare?
dc.type Journal Article
dc.department Economics
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/12585305
pubs.issue 3
pubs.organisational-group /Duke
pubs.organisational-group /Duke/Institutes and Provost's Academic Units
pubs.organisational-group /Duke/Institutes and Provost's Academic Units/University Institutes and Centers
pubs.organisational-group /Duke/Institutes and Provost's Academic Units/University Institutes and Centers/Global Health Institute
pubs.organisational-group /Duke/Sanford School of Public Policy
pubs.organisational-group /Duke/Sanford School of Public Policy/Center for Child and Family Policy
pubs.organisational-group /Duke/Sanford School of Public Policy/Duke Population Research Institute
pubs.organisational-group /Duke/Sanford School of Public Policy/Duke Population Research Institute/Center for Population Health & Aging
pubs.organisational-group /Duke/Sanford School of Public Policy/Duke Population Research Institute/Duke Population Research Center
pubs.organisational-group /Duke/School of Nursing
pubs.organisational-group /Duke/School of Nursing/School of Nursing - Secondary Group
pubs.organisational-group /Duke/Trinity College of Arts & Sciences
pubs.organisational-group /Duke/Trinity College of Arts & Sciences/Economics
pubs.organisational-group /Duke/Trinity College of Arts & Sciences/Institute of Public Policy
pubs.organisational-group /Duke/Trinity College of Arts & Sciences/Institute of Public Policy/Public Policy Studies
pubs.publication-status Published
pubs.volume 33

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