ArticleSocial science & medicine (1982)2020
Do small hospitals have lower quality? Evidence from the English NHS.
Article in Social science & medicine (1982), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 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
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Who cites it
4 citing papers in PubMed.
- Provision of medical same day emergency care services within the UK: analysis from the Society for Acute Medicine Benchmarking Audit.BMJ open · 2025Article
- Accreditation Modules According to Hospital Types: A Scoping Review.Iranian journal of public health · 2024Article
- Factors Associated with Website Operation among Small Hospitals and Medical and Dental Clinics in Korea.Healthcare informatics research · 2022Article
- Doctors' Preferences in the Selection of Patients in Online Medical Consultations: An Empirical Study with Doctor-Patient Consultation Data.Healthcare (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We investigate the extent to which small hospitals are associated with lower quality. We first take a patient perspective, and test if, controlling for casemix, patients admitted to small hospitals receive lower quality than those admitted to larger hospitals. We then investigate if differences in quality between large and small hospitals can be explained by hospital characteristics such as hospital type and staffing. We use a range of quality measures including hospital mortality rates (overall and for specific conditions), hospital acquired infection rates, waiting times for emergency patients, and patient perceptions of the care they receive. We find that small hospitals, with fewer than 400 beds, are generally not associated with lower quality before or after controlling for hospital characteristics. The only exception is heart attack mortality, which is generally higher in small hospitals.
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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.