ArticleHealth services research2007
Hospital competition, managed care, and mortality after hospitalization for medical conditions in California.
Article in Health services research, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed.
- The impact of hospital competition on healthcare quality: evidence from China's healthcare reform.Frontiers in public health · 2025Article
- Association of Hospital Market Competition with Outcomes of Complex Cancer Surgery.Annals of surgical oncology · 2024Article
- Article
- Analysis of mortality after hip fracture on patient, hospital, and regional level in Germany.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- Predictors of Gaps in Patient Safety and Quality in U.S. Hospitals.Health services research · 2016Article
- Variable surgical outcomes after hospital consolidation: Implications for local health care delivery.Surgery · 2016Article
- The Association between Medicare Advantage Market Penetration and Diabetes in the United States.Frontiers in public health · 2015Article
- Effects of competition on hospital quality: an examination using hospital administrative data.The European journal of health economics : HEPAC : health economics in prevention and care · 2013Article
- Effects of competition on the cost and quality of inpatient rehabilitation care under prospective payment.Health services research · 2010Article
- Article
- Managing care? Medicare managed care and patient use of cardiologists.Health services research · 2010Article
- Determinants of hospital choice of rural hospital patients: the impact of networks, service scopes, and market competition.Journal of medical systems · 2008Article
- Hospital Quality and Selective Contracting: Evidence from Kidney Transplantation.Forum for health economics & policy · 2008Article
- Chronic Disease Prevalence and Medicare Advantage Market Penetration: Findings From the Medical Expenditure Panel Survey.Health services research and managerial epidemiologyArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo assess the effect of hospital competition and health maintenance organization (HMO) penetration on mortality after hospitalization for six medical conditions in California. DATA SOURCE: Linked hospital discharge and vital statistics data for short-term general hospitals in California in the period 1994-1999. The study sample included adult patients hospitalized for one of the following conditions: acute myocardial infarction (N=227,446), hip fracture (N=129,944), stroke (N=237,248), gastrointestinal hemorrhage (GIH, N=216,443), congestive heart failure (CHF, N=355,613), and diabetes (N=154,837). STUDY
designThe outcome variable was 30-day mortality. We estimated multivariate logistic regression models for each study condition with hospital competition, HMO penetration, hospital characteristics, and patient severity measures as explanatory variables. PRINCIPAL
findingsHigher hospital competition was associated with lower 30-day mortality for three to five of the six study conditions, depending on the choice of competition measure, and this finding was robust to a variety of sensitivity analyses. Higher HMO penetration was associated with lower mortality for GIH and CHF.
conclusionsHospitals that faced more competition and hospitals in market areas with higher HMO penetration provided higher quality of care for adult patients with medical conditions in California. Studies using linked hospital discharge and vital statistics data from other states should be conducted to determine whether these findings are generalizable.
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