ArticleHealth affairs (Project Hope)2012
Based on key measures, care quality for Medicare enrollees at safety-net and non-safety-net hospitals was almost equal.
Article in Health affairs (Project Hope), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed.
- Article
- Evaluating How Safety-Net Hospitals Are Identified: Systematic Review and Recommendations.Health equity · 2022Review
- The Effect of Hospital Safety Net Status on the Association Between Bundled Payment Participation and Changes in Medical Episode Outcomes.Journal of hospital medicine · 2021Observational
- Article
- Evaluation of Changes in Veterans Affairs Medical Centers' Mortality Rates After Risk Adjustment for Socioeconomic Status.JAMA network open · 2020Observational
- Increased 30-day readmission rate after craniotomy for tumor resection at safety net hospitals in small metropolitan areas.Journal of neuro-oncology · 2020Article
- Evidence of the Linkage Between Hospital-based Care Coordination Strategies and Hospital Overall (Star) Ratings.Medical care · 2020Article
- Comparison of 3 Safety-Net Hospital Definitions and Association With Hospital Characteristics.JAMA network open · 2019Article
- Article
- Changes to Racial Disparities in Readmission Rates After Medicare's Hospital Readmissions Reduction Program Within Safety-Net and Non-Safety-Net Hospitals.JAMA network open · 2018Article
- Patterns of Hospital Performance on the Hospital-Wide 30-Day Readmission Metric: Is the Playing Field Level?Journal of general internal medicine · 2018Article
- Outcomes and Costs of Managing Appendicitis at Safety-Net Hospitals.JAMA surgery · 2017Article
- Hospital-Readmission Risk - Isolating Hospital Effects from Patient Effects.The New England journal of medicine · 2017Article
- Observational
- Hospital Use of Observation Stays: Cross-sectional Study of the Impact on Readmission Rates.Medical care · 2016Article
- Accounting For Patients' Socioeconomic Status Does Not Change Hospital Readmission Rates.Health affairs (Project Hope) · 2016Article
- Current State of Value-Based Purchasing Programs.Circulation · 2016Review
- Impact of Risk Adjustment for Socioeconomic Status on Risk-adjusted Surgical Readmission Rates.Annals of surgery · 2016Article
- Article
- Race/Ethnicity, Primary Language, and Income Are Not Demographic Drivers of Mortality in Breast Cancer Patients at a Diverse Safety Net Academic Medical Center.International journal of breast cancer · 2015Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Safety-net hospitals, which include urban hospitals serving large numbers of low-income, uninsured, and otherwise vulnerable populations, have historically faced greater financial strains than hospitals that serve more affluent populations. These strains can affect hospitals' quality of care, perhaps resulting in worse outcomes that are commonly used as indicators of care quality-mortality and readmission rates. We compared risk-standardized rates of both of these clinical outcomes among fee-for-service Medicare beneficiaries admitted for acute myocardial infarction, heart failure, or pneumonia. These beneficiaries were admitted to urban hospitals within Metropolitan Statistical Areas that contained at least one safety-net and at least one non-safety-net hospital. We found that outcomes varied across the urban areas for both safety-net and non-safety-net hospitals for all three conditions. However, mortality and readmission rates were broadly similar, with non-safety-net hospitals outperforming safety-net hospitals on average by less than one percentage point across most conditions. For heart failure mortality, there was no difference between safety-net and non-safety-net hospitals. These findings suggest that safety-net hospitals are performing better than many would have expected.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.