Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures
Introduction: The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care.Methods: Patients undergoing one of ten surgical procedures were identified using Medicare Standard Ana...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Bae, Junu [verfasserIn] Hyer, J. Madison [verfasserIn] Paredes, Anghela Z. [verfasserIn] Farooq, Ayesha [verfasserIn] Rice, Daniel R. [verfasserIn] White, Susan [verfasserIn] Tsilimigras, Diamantis I. [verfasserIn] Ejaz, Aslam [verfasserIn] Pawlik, Timothy M. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2019 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: The American journal of surgery - Amsterdam [u.a.] : Elsevier Science, 1926, 220, Seite 120-126 |
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| Übergeordnetes Werk: |
volume:220 ; pages:120-126 |
| DOI / URN: |
10.1016/j.amjsurg.2019.10.008 |
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| Katalog-ID: |
ELV004331230 |
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| 245 | 1 | 0 | |a Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures |
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| 520 | |a Introduction: The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care.Methods: Patients undergoing one of ten surgical procedures were identified using Medicare Standard Analytic Files. Patient and hospital-level characteristics and outcomes between POH and non-POH were compared.Results: Among 1,255,442 patients identified, 14,560 (1.2%) were treated at POH. A majority of POHs were in urban areas (n = 30, 90.9%) and none were in low socioeconomic status areas. Patients at POH were slightly younger (POH:72, IQR:68–77 vs. non-POH:73, IQR:69–79) and healthier (CCI; POH:2; IQR: 1–3 vs. non-POH: 3; IQR: 1–4). Patients at non-POH had higher odds of postoperative complications (OR:1.67, 95%CI:1.55–1.80) and slightly higher medical expenditures (POH:$11,347, IQR:$11,139-$11,936 vs. non-POH:$13,389, IQR:$11,381–$19,592).Conclusions: POH were more likely to be located in socioeconomic advantaged areas, treat healthier patients and have lower associated expenditures. | ||
| 650 | 4 | |a Physician-owned hospitals | |
| 700 | 1 | |a Hyer, J. Madison |e verfasserin |4 aut | |
| 700 | 1 | |a Paredes, Anghela Z. |e verfasserin |4 aut | |
| 700 | 1 | |a Farooq, Ayesha |e verfasserin |4 aut | |
| 700 | 1 | |a Rice, Daniel R. |e verfasserin |4 aut | |
| 700 | 1 | |a White, Susan |e verfasserin |4 aut | |
| 700 | 1 | |a Tsilimigras, Diamantis I. |e verfasserin |4 aut | |
| 700 | 1 | |a Ejaz, Aslam |e verfasserin |4 aut | |
| 700 | 1 | |a Pawlik, Timothy M. |e verfasserin |4 aut | |
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2019 |
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10.1016/j.amjsurg.2019.10.008 doi (DE-627)ELV004331230 (ELSEVIER)S0002-9610(19)31187-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl 44.65 bkl Bae, Junu verfasserin aut Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care.Methods: Patients undergoing one of ten surgical procedures were identified using Medicare Standard Analytic Files. Patient and hospital-level characteristics and outcomes between POH and non-POH were compared.Results: Among 1,255,442 patients identified, 14,560 (1.2%) were treated at POH. A majority of POHs were in urban areas (n = 30, 90.9%) and none were in low socioeconomic status areas. Patients at POH were slightly younger (POH:72, IQR:68–77 vs. non-POH:73, IQR:69–79) and healthier (CCI; POH:2; IQR: 1–3 vs. non-POH: 3; IQR: 1–4). Patients at non-POH had higher odds of postoperative complications (OR:1.67, 95%CI:1.55–1.80) and slightly higher medical expenditures (POH:$11,347, IQR:$11,139-$11,936 vs. non-POH:$13,389, IQR:$11,381–$19,592).Conclusions: POH were more likely to be located in socioeconomic advantaged areas, treat healthier patients and have lower associated expenditures. Physician-owned hospitals Hyer, J. Madison verfasserin aut Paredes, Anghela Z. verfasserin aut Farooq, Ayesha verfasserin aut Rice, Daniel R. verfasserin aut White, Susan verfasserin aut Tsilimigras, Diamantis I. verfasserin aut Ejaz, Aslam verfasserin aut Pawlik, Timothy M. verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 220, Seite 120-126 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:220 pages:120-126 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie 44.65 Chirurgie AR 220 120-126 |
| spelling |
10.1016/j.amjsurg.2019.10.008 doi (DE-627)ELV004331230 (ELSEVIER)S0002-9610(19)31187-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl 44.65 bkl Bae, Junu verfasserin aut Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care.Methods: Patients undergoing one of ten surgical procedures were identified using Medicare Standard Analytic Files. Patient and hospital-level characteristics and outcomes between POH and non-POH were compared.Results: Among 1,255,442 patients identified, 14,560 (1.2%) were treated at POH. A majority of POHs were in urban areas (n = 30, 90.9%) and none were in low socioeconomic status areas. Patients at POH were slightly younger (POH:72, IQR:68–77 vs. non-POH:73, IQR:69–79) and healthier (CCI; POH:2; IQR: 1–3 vs. non-POH: 3; IQR: 1–4). Patients at non-POH had higher odds of postoperative complications (OR:1.67, 95%CI:1.55–1.80) and slightly higher medical expenditures (POH:$11,347, IQR:$11,139-$11,936 vs. non-POH:$13,389, IQR:$11,381–$19,592).Conclusions: POH were more likely to be located in socioeconomic advantaged areas, treat healthier patients and have lower associated expenditures. Physician-owned hospitals Hyer, J. Madison verfasserin aut Paredes, Anghela Z. verfasserin aut Farooq, Ayesha verfasserin aut Rice, Daniel R. verfasserin aut White, Susan verfasserin aut Tsilimigras, Diamantis I. verfasserin aut Ejaz, Aslam verfasserin aut Pawlik, Timothy M. verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 220, Seite 120-126 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:220 pages:120-126 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie 44.65 Chirurgie AR 220 120-126 |
| allfields_unstemmed |
10.1016/j.amjsurg.2019.10.008 doi (DE-627)ELV004331230 (ELSEVIER)S0002-9610(19)31187-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl 44.65 bkl Bae, Junu verfasserin aut Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care.Methods: Patients undergoing one of ten surgical procedures were identified using Medicare Standard Analytic Files. Patient and hospital-level characteristics and outcomes between POH and non-POH were compared.Results: Among 1,255,442 patients identified, 14,560 (1.2%) were treated at POH. A majority of POHs were in urban areas (n = 30, 90.9%) and none were in low socioeconomic status areas. Patients at POH were slightly younger (POH:72, IQR:68–77 vs. non-POH:73, IQR:69–79) and healthier (CCI; POH:2; IQR: 1–3 vs. non-POH: 3; IQR: 1–4). Patients at non-POH had higher odds of postoperative complications (OR:1.67, 95%CI:1.55–1.80) and slightly higher medical expenditures (POH:$11,347, IQR:$11,139-$11,936 vs. non-POH:$13,389, IQR:$11,381–$19,592).Conclusions: POH were more likely to be located in socioeconomic advantaged areas, treat healthier patients and have lower associated expenditures. Physician-owned hospitals Hyer, J. Madison verfasserin aut Paredes, Anghela Z. verfasserin aut Farooq, Ayesha verfasserin aut Rice, Daniel R. verfasserin aut White, Susan verfasserin aut Tsilimigras, Diamantis I. verfasserin aut Ejaz, Aslam verfasserin aut Pawlik, Timothy M. verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 220, Seite 120-126 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:220 pages:120-126 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie 44.65 Chirurgie AR 220 120-126 |
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10.1016/j.amjsurg.2019.10.008 doi (DE-627)ELV004331230 (ELSEVIER)S0002-9610(19)31187-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl 44.65 bkl Bae, Junu verfasserin aut Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care.Methods: Patients undergoing one of ten surgical procedures were identified using Medicare Standard Analytic Files. Patient and hospital-level characteristics and outcomes between POH and non-POH were compared.Results: Among 1,255,442 patients identified, 14,560 (1.2%) were treated at POH. A majority of POHs were in urban areas (n = 30, 90.9%) and none were in low socioeconomic status areas. Patients at POH were slightly younger (POH:72, IQR:68–77 vs. non-POH:73, IQR:69–79) and healthier (CCI; POH:2; IQR: 1–3 vs. non-POH: 3; IQR: 1–4). Patients at non-POH had higher odds of postoperative complications (OR:1.67, 95%CI:1.55–1.80) and slightly higher medical expenditures (POH:$11,347, IQR:$11,139-$11,936 vs. non-POH:$13,389, IQR:$11,381–$19,592).Conclusions: POH were more likely to be located in socioeconomic advantaged areas, treat healthier patients and have lower associated expenditures. Physician-owned hospitals Hyer, J. Madison verfasserin aut Paredes, Anghela Z. verfasserin aut Farooq, Ayesha verfasserin aut Rice, Daniel R. verfasserin aut White, Susan verfasserin aut Tsilimigras, Diamantis I. verfasserin aut Ejaz, Aslam verfasserin aut Pawlik, Timothy M. verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 220, Seite 120-126 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:220 pages:120-126 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie 44.65 Chirurgie AR 220 120-126 |
| allfieldsSound |
10.1016/j.amjsurg.2019.10.008 doi (DE-627)ELV004331230 (ELSEVIER)S0002-9610(19)31187-0 DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl 44.65 bkl Bae, Junu verfasserin aut Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care.Methods: Patients undergoing one of ten surgical procedures were identified using Medicare Standard Analytic Files. Patient and hospital-level characteristics and outcomes between POH and non-POH were compared.Results: Among 1,255,442 patients identified, 14,560 (1.2%) were treated at POH. A majority of POHs were in urban areas (n = 30, 90.9%) and none were in low socioeconomic status areas. Patients at POH were slightly younger (POH:72, IQR:68–77 vs. non-POH:73, IQR:69–79) and healthier (CCI; POH:2; IQR: 1–3 vs. non-POH: 3; IQR: 1–4). Patients at non-POH had higher odds of postoperative complications (OR:1.67, 95%CI:1.55–1.80) and slightly higher medical expenditures (POH:$11,347, IQR:$11,139-$11,936 vs. non-POH:$13,389, IQR:$11,381–$19,592).Conclusions: POH were more likely to be located in socioeconomic advantaged areas, treat healthier patients and have lower associated expenditures. Physician-owned hospitals Hyer, J. Madison verfasserin aut Paredes, Anghela Z. verfasserin aut Farooq, Ayesha verfasserin aut Rice, Daniel R. verfasserin aut White, Susan verfasserin aut Tsilimigras, Diamantis I. verfasserin aut Ejaz, Aslam verfasserin aut Pawlik, Timothy M. verfasserin aut Enthalten in The American journal of surgery Amsterdam [u.a.] : Elsevier Science, 1926 220, Seite 120-126 Online-Ressource (DE-627)320427757 (DE-600)2003374-6 (DE-576)121465497 1879-1883 nnns volume:220 pages:120-126 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.65 Chirurgie 44.65 Chirurgie AR 220 120-126 |
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Bae, Junu @@aut@@ Hyer, J. Madison @@aut@@ Paredes, Anghela Z. @@aut@@ Farooq, Ayesha @@aut@@ Rice, Daniel R. @@aut@@ White, Susan @@aut@@ Tsilimigras, Diamantis I. @@aut@@ Ejaz, Aslam @@aut@@ Pawlik, Timothy M. @@aut@@ |
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Bae, Junu ddc 610 bkl 44.65 misc Physician-owned hospitals Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures |
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Bae, Junu Hyer, J. Madison Paredes, Anghela Z. Farooq, Ayesha Rice, Daniel R. White, Susan Tsilimigras, Diamantis I. Ejaz, Aslam Pawlik, Timothy M. |
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evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures |
| title_auth |
Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures |
| abstract |
Introduction: The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care.Methods: Patients undergoing one of ten surgical procedures were identified using Medicare Standard Analytic Files. Patient and hospital-level characteristics and outcomes between POH and non-POH were compared.Results: Among 1,255,442 patients identified, 14,560 (1.2%) were treated at POH. A majority of POHs were in urban areas (n = 30, 90.9%) and none were in low socioeconomic status areas. Patients at POH were slightly younger (POH:72, IQR:68–77 vs. non-POH:73, IQR:69–79) and healthier (CCI; POH:2; IQR: 1–3 vs. non-POH: 3; IQR: 1–4). Patients at non-POH had higher odds of postoperative complications (OR:1.67, 95%CI:1.55–1.80) and slightly higher medical expenditures (POH:$11,347, IQR:$11,139-$11,936 vs. non-POH:$13,389, IQR:$11,381–$19,592).Conclusions: POH were more likely to be located in socioeconomic advantaged areas, treat healthier patients and have lower associated expenditures. |
| abstractGer |
Introduction: The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care.Methods: Patients undergoing one of ten surgical procedures were identified using Medicare Standard Analytic Files. Patient and hospital-level characteristics and outcomes between POH and non-POH were compared.Results: Among 1,255,442 patients identified, 14,560 (1.2%) were treated at POH. A majority of POHs were in urban areas (n = 30, 90.9%) and none were in low socioeconomic status areas. Patients at POH were slightly younger (POH:72, IQR:68–77 vs. non-POH:73, IQR:69–79) and healthier (CCI; POH:2; IQR: 1–3 vs. non-POH: 3; IQR: 1–4). Patients at non-POH had higher odds of postoperative complications (OR:1.67, 95%CI:1.55–1.80) and slightly higher medical expenditures (POH:$11,347, IQR:$11,139-$11,936 vs. non-POH:$13,389, IQR:$11,381–$19,592).Conclusions: POH were more likely to be located in socioeconomic advantaged areas, treat healthier patients and have lower associated expenditures. |
| abstract_unstemmed |
Introduction: The Affordable Care Act introduced restrictions on the creation of new physician-owned hospitals (POH). We sought to define whether POH status was associated with differences in care.Methods: Patients undergoing one of ten surgical procedures were identified using Medicare Standard Analytic Files. Patient and hospital-level characteristics and outcomes between POH and non-POH were compared.Results: Among 1,255,442 patients identified, 14,560 (1.2%) were treated at POH. A majority of POHs were in urban areas (n = 30, 90.9%) and none were in low socioeconomic status areas. Patients at POH were slightly younger (POH:72, IQR:68–77 vs. non-POH:73, IQR:69–79) and healthier (CCI; POH:2; IQR: 1–3 vs. non-POH: 3; IQR: 1–4). Patients at non-POH had higher odds of postoperative complications (OR:1.67, 95%CI:1.55–1.80) and slightly higher medical expenditures (POH:$11,347, IQR:$11,139-$11,936 vs. non-POH:$13,389, IQR:$11,381–$19,592).Conclusions: POH were more likely to be located in socioeconomic advantaged areas, treat healthier patients and have lower associated expenditures. |
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Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures |
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Hyer, J. Madison Paredes, Anghela Z. Farooq, Ayesha Rice, Daniel R. White, Susan Tsilimigras, Diamantis I. Ejaz, Aslam Pawlik, Timothy M. |
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|
| score |
7.400736 |