title: Factors associated with high-quality/low-cost hospital performance.
abstract: This study explores organizational and market characteristics associated with superior hospital performance in both quality and cost of care, using the Healthcare Cost and Utilization Project State Inpatient Databases for ten states in 1997 and 2001. After controlling for a variety of patient factors, we found that for-profit ownership, hospital competition, and the number of HMOs were positively associated with the likelihood of attaining high-quality/low-cost performance. Furthermore, we examined interactions between organizational and market characteristics and identified a number of significant interactions. For example, the positive likelihood associated with for-profit hospitals diminished in markets with high HMO penetration.
authors.affiliation: Center for Delivery, Organization and Markets, Agency for Healthcare Research and Quality, USA.
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: D019992:Databases as Topic; D004465:Economic Competition; D004469:Economics, Hospital; D017721:Hospital Costs; D017052:Hospital Mortality / Q000639:trends; D006761:Hospitals / Q000592:standards*; D008329:Managed Care Programs; D011785:Quality Assurance, Health Care; D014481:United States / Q000453:epidemiology