title: Sustaining and improving hospital performance: The effects of organizational and market factors.
abstract: Using data from hospitals in ten states, this study examines the effects of organizational and market factors on the likelihood of becoming high-quality/low-cost providers during the period of 1997-2001. The findings highlight the important role of previous performance, internal operations, and market competition in hospital performance improvement. Achieving high-quality/low-cost performance is also incidentally found to be associated with improved profit margins.
authors.affiliation: Center for Delivery, Organization and Markets, Agency for Healthcare Research and Quality, Rockville, Maryland, USA. joanna.jiang@ahrq.gov
authors.forename: H Joanna
authors.initials: HJ
authors.lastname: Jiang
authors.forename: Bernard
authors.initials: B
authors.lastname: Friedman
authors.forename: James W
authors.initials: JW
authors.lastname: Begun
mesh_terms: D004465:Economic Competition; D017598:Efficiency, Organizational; D006739:Hospital Administration / Q000191:economics / Q000592:standards*; D016015:Logistic Models; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data; D014481:United States