Hospital Ownership and Financial Performance: What Explains the Different Findings in the Empirical Literature?

This study applies meta-analytic methods to conduct a quantitative review of the empirical literature on hospital ownership since 1990. We examine four financial outcomes across 40 studies: cost, revenue, profit margin, and efficiency. We find that variation in the magnitudes of ownership effects ca...

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Bibliographische Detailangaben
Veröffentlicht in:Inquiry. - SAGE Publications, 1963. - 44(2007), 1, Seite 41-68
1. Verfasser: Shen, Yu-Chu (VerfasserIn)
Weitere Verfasser: Eggleston, Karen, Lau, Joseph, Schmid, Christopher H.
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2007
Zugriff auf das übergeordnete Werk:Inquiry
Schlagworte:Health sciences Economics Business Mathematics Behavioral sciences
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520 |a This study applies meta-analytic methods to conduct a quantitative review of the empirical literature on hospital ownership since 1990. We examine four financial outcomes across 40 studies: cost, revenue, profit margin, and efficiency. We find that variation in the magnitudes of ownership effects can be explained by a study's research focus and methodology. Studies using empirical methods that control for few confounding factors tend to find larger differences between for-profit and not-for-profit hospitals than studies that control for a wider range of confounding factors. Functional form and sample size also matter. Failure to apply log transformation to highly skewed expenditure data yields misleadingly large estimated differences between for-profits and not-for-profits. Studies with fewer than 200 observations also produce larger point estimates and wide confidence intervals. 
540 |a © 2007 Excellus Health Plan, Inc. 
650 4 |a Health sciences  |x Health care industry  |x Health care facilities  |x Hospitals  |x Nonprofit hospitals 
650 4 |a Economics  |x Economic disciplines  |x Health care economics  |x Health care costs  |x Hospital costs 
650 4 |a Business  |x Business administration  |x Business management  |x Capital management  |x Profit planning  |x Profit margins 
650 4 |a Economics  |x Microeconomics  |x Economic costs and benefits  |x Economic costs  |x Cost efficiency 
650 4 |a Economics  |x Microeconomics  |x Income  |x Revenue 
650 4 |a Mathematics  |x Applied mathematics  |x Statistics  |x Applied statistics  |x Descriptive statistics  |x Measures of variability  |x Sample size 
650 4 |a Behavioral sciences  |x Human behavior  |x Social behavior  |x Social interaction  |x Cooperation  |x Alliances 
650 4 |a Health sciences  |x Health care industry  |x Health care facilities  |x Hospitals  |x Psychiatric hospitals 
650 4 |a Health sciences  |x Health and wellness  |x Health outcomes 
650 4 |a Mathematics  |x Applied mathematics  |x Statistics  |x Applied statistics 
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700 1 |a Lau, Joseph  |e verfasserin  |4 aut 
700 1 |a Schmid, Christopher H.  |e verfasserin  |4 aut 
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