Does the Patient's Payer Matter in Hospital Patient Safety
A Study of Urban Hospitals
Bibliographic Data
| ID | 9096437 |
|---|---|
| Authors | Jan P Clement (Virginia Commonwealth University, corresponding author), Richard C Lindrooth (0000-0001-9538-9749, Medical University of South Carolina), Askar S Chukmaitov, Askar Chukmaitov (0000-0002-2015-327X), Hsueh-Fen Chen (0000-0002-4066-6881, Virginia Commonwealth University, corresponding author) |
| Year | 2007 |
| Volume | 45 |
| Issue | 2 |
| Pages | 131-138 |
| Publication date | 2007-02-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.mlr.0000244636.54588.2b |
| PMID | 17224775 |
| OpenAlex | W2031052918 |
| Language | EN |
| Citations received | 6 |
| References cited | 18 |
BACKGROUND: Previous studies have documented that hospitals decrease costs in response to reimbursement cutbacks. However, research concerning how this may affect quality of care has produced mixed results. Until recently, the ability to study changes in patient safety and payment has been limited. OBJECTIVE: The objective of the study was to determine whether changes in 4 hospital patient safety indicator (PSI) rates are related to changes in the generosity of payers over time. DATA AND METHODS: Study data are drawn from 1995-2000 hospital discharges in 11 states in the Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project State Inpatient Database. Following the same organizations over time, we estimate hospital fixed-effects regression models of the association of payer-specific time and post Balanced Budget Act (BBA) payment changes with risk-adjusted hospital PSI rates controlling for patient, organizational, and market characteristics. Four PSIs relevant to a large number of patients and hospitals that reflect general care processes are studied. RESULTS: The time trend during 1995-2000 is consistently significantly positive for private and Medicare hospital PSI rates. Thus, after controlling for patient characteristics and organizational and market factors, performance worsened. The trend is less consistent for Medicaid and does not exist for self-pay hospital PSI rates. After adjusting for multiple comparisons, we also find that the Medicare trend is fairly consistently higher than that of the other payers. In contrast, there is a less consistent BBA effect, especially for Medicare
Business · Economics · Health care · Medical emergency · Patient safety · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes
Did Budget Cuts in Medicaid Disproportionate Share Hospital Payment Affect Hospital Quality of Care
Differences in the Rates of Patient Safety Events by Payer
Emerging Methods in Comparative Effectiveness and Safety
Hospital Staffing Decisions
Does prospective payment influence quality of care? A systematic review of the literature
Is There an Association Between Quality of In-Hospital Cardiac Care and Proportion of Low-Income Patients
Hospital Finances and Patient Safety Outcomes
The Balanced Budget Act of 1997 and U.S. Hospital Operations
The Association Between Hospital Characteristics and Rates of Preventable Complications and Adverse Events
Hospital-Level Racial Disparities in Acute Myocardial Infarction Treatment and Outcomes
Race and Gender Disparities in Rates of Cardiac Revascularization
Increasing Levels of Restriction in Pharmacoepidemiologic Database Studies of Elderly and Comparison With Randomized Trial Results
| Citations per year | 0.32 |
|---|---|
| Citation span | 2007 - 2023 (17) |
| Highly cited | No |