Evidence map›Paper›PMID 37875259›Full record

ArticleHealth services research2024

Hospital ownership and admission rates from the emergency department, evidence from Florida.

David H Howard, Guy David

Abstract read
In one paragraph

Article in Health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. U.S. Emergency Department Visits by Persons With Dementia: Impact of Medicare Claims Data and Undiagnosed Dementia.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

David H HowardDepartment of Health Policy and Management, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-4465-0414
Guy DavidDepartment of Health Care Management, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-9191-741X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn light of Department of Justice investigations of for-profit chains for over-admitting patients, we sought to evaluate whether for-profit hospitals are more likely to admit patients from the emergency department. DATA SOURCES: We used statewide visit-level inpatient and emergency department records from Florida's Agency for Healthcare Administration for 2007-2019. STUDY

designWe calculated differences in admission rates between for-profit and other hospitals, adjusting for patient and hospital characteristics. We also estimated instrumental variables models using differential distance to a for-profit hospital as an instrument. DATA COLLECTION/EXTRACTION

methodsOur main analysis focuses on patients ages 65 and older treated in hospitals that primarily serve adults. PRINCIPAL

findingsAdjusted admission rates among patients ages 65 and older were 7.1 percentage points (95% CI: 5.1-9.1) higher at for-profit hospitals in 2019 (or 18.8% of the sample mean of 37.8%). Differences in admission rates have remained constant since 2009.

conclusionOur results are consistent with allegations that for-profit hospitals maintain lower admission thresholds to increase occupancy levels.

Indexed as

Emergency Service, HospitalHospitalizationOwnershipAgedFloridaHospitals, PrivateHumansfraudhospital economicshospital emergency servicemedical overuseownershippatient admission

Identifiers

PMID37875259
PMCPMC10915481

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.