Hospital ownership, performance, and outcomes: Assessing the state-of- the-science

Journal of Nursing Administration

Volumn 30, Issue 5, 2000, Pages 227-240

  Baker, Constance M ^a   Messmer, Patricia L ^b   Gyurko, Charlene C ^c   Domagala, Susan E ^g   Conly, Franklin M ^d   Eads, Ted S ^e   Harshman, Karen Sue ^e   Layne, Michelle K ^f  

^a INDIANA UNIVERSITY SCHOOL OF NURSING   (United States)

^b CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER   (United States)

^c IVY TECH COMMUNITY COLLEGE   (United States)

^d Emergency Department   (United States)

^e INDIANA UNIVERSITY   (United States)

^f Pain Center   (United States)

^g Columbus Regional Hospital ^*

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EVIDENCE BASED MEDICINE; HEALTH SERVICES RESEARCH; HOSPITAL FINANCE; HOSPITAL MANAGEMENT; HOSPITAL ORGANIZATION; HOSPITAL RUNNING COST; NON PROFIT HOSPITAL; NURSING STAFF; OUTCOMES RESEARCH; PRIVATE HOSPITAL; PUBLIC HOSPITAL;

EID: 0034023745     PISSN: 00020443     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005110-200005000-00004     Document Type: Article

References (95)

1. Mitchell PH, Ferketich S, Jennings BM, American Academy of Nursing Expert Panel on Quality Health Care. Quality health outcomes model. Image. 1998;30(1):43-46.
2. Verran JA, Mark BA. Contextual factors influencing patient outcomes. In: Patient outcomes research: Examining the effectiveness of nursing practice. National Center for Nursing Research, DHHS, PHS, 1992:121-143, NIH publication No. 93-3411.
3. Weiss LD. Private medicine and public health: Profit, politics, and prejudice in the American health care enterprise. Boulder, CO: Westview Press; 1997.
4. Baker CM, Ogden SJ, Prapaipanich W, Keith CK. Beattie LC, Nickleson LE. Hospital consolidation: Applying stakeholder analysis to merger life-cycle. J Nurs Adm. 1999;29(3):11-20.
5. Hollingsworth JR, Hollingsworth EJ. Controversy about American hospitals: Funding, ownership, and performance. Washington, DC: American Enterprise Institute; 1987.
6. Theisen BA, Pelfrey S. The advantages and risks of being a tax-exempt, nonprofit organization. J Nurs Adm. 1993;23(2):36-41.
7. Horty JF, Mulholland DM. Legal differences between investor-owner and nonprofit health care institutions. In: Gray BH, ed. The new health care for profit: Doctors and hospitals in a competitive environment. Washington, DC: National Academy Press; 1983:17-34.
8. American Hospital Association. Hospital statistics. Chicago, IL: Author; 1999.
9. Flood AB. The impact of organizational and managerial factors on the quality of care in health care organizations. Med Care Rev. 1994; 51(4):381-428.
10. Schlesinger M. Mismeasuring the consequences of ownership: External influences and the comparative performance of public, for-profit, and nonprofit organizations. New Haven, CT; Yale University; 1994. Working Paper No. 205 and IPS Working Paper No. 2205.
11. Aiken LH, Sochalski J, Lake ET. Studying outcomes of organizational change in health services. Med Care. 1997;35(11):NS6-NS18.
12. Hughes RG, Luft HS. Keeping up with the Joneses: The influence of public and proprietary neighbors on voluntary hospitals. Health Services Management Research. 1990;3(3):173-181.
13. Shortell SM, Morrison EM, Hughes SL, Friedman B, Coverdill J, Berg L. The effects of hospital ownership on nontraditional services. Health Affairs. 1986;5(4):97-111.
14. Melnick G, Keeler E, Zwanziger J. Market power and hospital pricing: Are nonprofits different? Health Affairs. 1999;18(3):167-173.
15. Hirth RA. Competition between for-profit and nonprofit health care providers: Can it help achieve social goals? Medical Care Res Rev. 1997;54(4):414-438.
16. Tuckman HP. Competition, commercialization, and the evolution of nonprofit organizational structures. Journal of Policy Analysis and Management. 1998;17(2):175-194.
17. Zinn JS, Mor V. Organizational structure and the delivery of primary care to older Americans. Health Serv Res. 1998;33(2):354-380.
18. Shortell SM, Zimmerman J, Rousseau D, et al. The performance of intensive care units: Does good management make a difference? Med Care 1994;32(5):508-525.
19. Umbdenstock RJ, Hageman WM, Amundson B. The five critical areas for effective governance of not-for-profit hospitals. Hospital and Health Services Administration.1990;35:481-492.
20. Shortell SM. New directions in hospital governance. Hospital and Health Services Administration.1989;34(1):7-23.
21. Schwenk CR. Conflict in organizational decision making: An exploratory study of its effects in for-profit and not-for-profit organizations. Management Science. 1990;36(4):436-448.
22. Cole MT. Is there a third way? A comparative analysis of how the law treats workers in the nonprofit, private-for-profit, and public sectors. Nonprofit Management and Leadership. 1994;5(2):197-211.
23. Valdmanis VG. Ownership and technical efficiency in hospitals. Med Care. 1990;28(6):552-561.
24. Burgess JF, Wilson PW. Hospital ownership and technical inefficiency. Management Science: 1996;42(1):110-123.
25. Ozcan YA, Luke RD, Haksever C. Ownership and organizational performance: A comparison of technical efficiency across hospital types. Med Care. 1992;30(9):781-794.
26. Ozcan YA, Luke RD. A national study of the efficiency of hospitals in urban markets. Health Serv Res. 1993;27(6):719-739.
27. White KR, Ozcan YA. Church ownership and hospital efficiency. Hospital and Health Services Administration.1996;41(3):297-311.
28. Carter RB, Massa LJ, Power ML. An examination of the efficiency of proprietary hospital versus non-proprietary hospital ownership structures. Journal of Accounting and Public Policy. 1997;16:63-87.
29. Anders RL. Administrative delays: Is there a difference between for-profit and nonprofit hospitals? J Nurs Adm. 1993;23(11):42-50.
30. Menke TJ. The effect of chain membership on hospital costs. Health Serv Res. 1997;32(2):177-196.
31. Friedman B, Shortell S. The financial performance of selected investor-owned and not-for-profit system hospitals before and after Medicare prospective payment. Health Serv Res. 1988;23(2):237-267.
32. Hultman CI. Uncompensated care before and after prospective payment: The role of hospital location and ownership. Health Serv Res. 1991;26(5):613-622.
33. Woolhandler S, Himmelstein DU, Costs of care and administration at for-profit and other hospitals in the United States. N Engl J Med. 1997;336(11):769-774.
34. Shukla RK, Pestian J, Clement J. A comparative analysis of revenue and cost-management strategies of not-for-profit and for-profit hospitals. Hospital and Health Services Administration.1997;42(1):117-134.
35. Anonymous. Data trends: DRG assignment patterns differ with hospital ownership. Healthcare Financial Management. 1998;52(7):102.
36. Altman SH, Shactman D. Should we worry about hospitals' high administrative costs? N Engl J Med. 1997;336(11):798-799.
37. West TD. Comparing change readiness, quality improvement, and cost management among Veterans Administration, for-profit, and nonprofit hospitals. J Health Care Finance. 1998;25(1):46-58.
38. McClure M, Poulin M, Sovie MD. Magnet hospitals: Attraction and retention of professional nurses. Kansas City, MO: American Academy of Nursing; 1983.
39. Leicht KT, Fennell ML, Witkowski KM. The effects of hospital characteristics and radical organizational change on the relative standing of health care professions. J Health Soc Behav. 1995;36(June):151-167.
40. Aiken LH, Smith HL, Lake ET. Lower Medicare mortality among a set of hospitals known for good nursing care. Med Care. 1994;32(8):771-787.
41. Bond CA, Raehl CL, Pitterle ME, Franke T. Health care professional staffing, hospital characteristics, and hospital mortality. Phamacotherapy. 1999;19(2):130-138.
42. Vinokur-Kaplan D. Workplace attitudes, experiences, and job satisfaction of social work administrators in nonprofit and public agencies: 1981 and 1989 Nonprofit and Voluntary Sector Quarterly. 1996;25(1):89-109.
43. Weisman CS, Nathanson CA. Professional satisfaction and client outcomes: A comparative organizational analysis. Med Care. 1985;23(10):1179-1192.
44. Morrissey J. All benchmarked out: Even the top 100 hospitals can't find many more ways to be more productive. Modern Healthcare. 1998;28(49):38-40, 41, 44, 46.
45. Norton EC, Staiger DO. How hospital ownership affects access to care for the uninsured. Rand Journal of Economics. 1994;25(1):171-185.
46. Schlesinger M, Dorwart R, Hoover C, Epstein S. Competition, ownership, and access: Evidence from psychiatric hospitals. Med Care. 1997;35(9);974-992.
47. White KR, Begun JW. How does Catholic hospital sponsorship affect services provided? Inquiry. 1998-1999;35(4):398-407.
48. Blewett LA, Kane RL, Finch M. Hospital ownership of post-acute care. Does it increase access to post-acute services? Inquiry. 1995-1996;32(4):457-467.
49. Danel I, Johnson C, Berg C, Flowers L, Atrash H. Length of maternal hospital stay for uncomplicated deliveries, 1988-1995: The impact of maternal and hospital characteristics. Maternal and Child Health Journal. 1997;1(4):237-242.
50. Leung K, Elashoff RM, Rees KS, Hasan MM, Legorreta AP. Hospital and patient related characteristics determining maternity length of stay: A hierarchical linear model approach. Am J Public Health. 1998;88(3):377-381.
51. Stafford RS. The impact of nonclinical factors on repeat cesarean section. JAMA. 1991;265(1):59-63.
52. Braverman P, Egerter S, Edmonston F, Verdon M. Racial/ethnic differences in the likelihood of cesarean delivery. Am J Public Health. 1995;85(5):625-630.
53. Goodrick E, Salancik GR. Organizational discretion in responding to institutional practices: Hospitals and cesarean birth. Administrative Science Quarterly. 1996;41:1-18.
54. Lanska DJ, Kryscio RJ. Stroke and intracranial venous thrombosis during pregnancy and puerperium. Neurology. 1998;51(6):1622-1628.
55. Schlesinger M, Cleary PD, Blumenthal D. The ownership of health facilities and clinical decision making. Med Care. 1989;27:244-257.
56. Meurer JR, Kuhn EM, George V, Yauck JS, Layde PM. Charges for childhood asthma by hospital characteristics. Pediatrics. 1998;102(6):E70.
57. Ayanian JZ, Weissman JS, Chasan-Taber S, Epstein AM. Quality of care for two common illnesses in teaching and non-teaching hospitals. Health Affairs. 1998;17(6): 194-205.
58. Keeler EB, Rubenstein LV, Kahn KL, et al. Hospital characteristics and quality of care. JAMA. 1992;268(13):1709-1714.
59. Schultz MA, van Servellen G, Chang BL, McNeese-Smith D, Waxenberg E. The relationship of hospital structural and financial characteristics to mortality and length of stay in acute myocardial infarction patients. Outcomes Management for Nursing Practice. 1998;2(3):130-136.
60. Wright SM, Petersen LA, Lamkin RP, Daley J. Increasing use of Medicare services by veterans with acute myocardial infarction. Med Care. 1999;37(6):529-537.
61. Shortell SM, Hughes EF. The effects of regulation, competition, and ownership on mortality rates among hospital inpatients. N Engl J Med. 1988;318(17):100-1107.
62. Al-Haider AS, Wan TTH. Modeling organizational determinants of hospital mortality. Health Serv Res. 1991;26(3): 303-323.
63. Kuhn EM, Hartz AJ, Krakauer H, Bailey RC, Rimm AA. The relationship of hospital ownership and teaching status to 30 and 180 day adjusted mortality. Med Care. 1994; 32(11):1098-1108.
64. Rosenthal GE, Shah A, Way LE, Harper DL. Variations in standardized hospital mortality rates for six common medical diagnoses. Med Care. 1998;36(7):955-964.
65. Van Servellen G, Schultz MA. Demystifying the influence of hospital characteristics on inpatient mortality rates. J Nurs Adm. 1999;29(4):39-47.
66. Mitchell PH, Shortell SM. Adverse outcomes and variations in organization of care delivery, Med Care. 1997: 35(11):NS19-NS32.
67. Silber JH, Williams SV, Krakauer H. Schwartz JS. Hospital and patient characteristics associated with death after surgery: A study of adverse occurrence and failure to rescue. Med Care. 1992;30(7):615-629.
68. Brennan TA, Hebert LE, Laird NM, et al. Hospital characteristics associated with adverse events and substandard care. JAMA. 1991;265(24):3265-3269.
69. Burstin HR, Lipsitz SR, Udvarhelyi I, Brennan TA. The effect of hospital financial characteristics on quality of care. JAMA. 1993;270(7):845-849.
70. Kovner CT, Gergen PJ. Nurse staffing levels and adverse events following surgery in U.S. hospitals. Image. 1998;30(4):315-321.
71. Rubin HR. Patient evaluations of hospital care: A review of the literature. Med Care. 1990;28(9):S3-S9.
72. Finkelstein BS, Singh J, Silvers JB, Neuhauser D, Rosenthal GE. Patient and hospital characteristics associated with patient assessments of hospital obstetrical care. Med Care. 1998;36(8:):AS68-AS78.
73. Piette JD. Satisfaction with care among patients with diabetes in two public health care systems. Med Care. 1999;37(6):538-546.
74. Cleary PD, Edgman-Levitan S, Roberts M, et al. Patients evaluate their hospital care: A national survey. Health Affairs. 1991;10:254-267.
75. Nelson EC, Hays RD, Larson C, Batalden PB. The patient judgment system: Reliability and validity. Quality Review Bulletin. 1993;15:185-191.
76. Carey RG, Seibert JH. A patient survey system to measure quality improvement: Questionnaire reliability and validity. Med Care. 1993;31(9);834-845.
77. Minnick AF, Roberts MJ, Young WB, Kleinpell RM, Marcantonio RJ. What influences patients' reports of three aspects of hospital services? Med Care. 1997;35(4):399-409.
78. Schlesinger M, Gray B, Carrino G, et al. A broader vision for managed care, Part 2: A typology of community benefits. Health Affairs. 1998;17(5):26-49.
79. Buchmueller TC, Feldstein PJ. Hospital community benefits other than charity care: Implications for tax exemption and public policy. Hospital and Health Services Administration. 1996;41(4):461-471.
80. Arrington B, Haddock CC. Who really benefits from not-for-profits? Health Sen Res. 1990;25(2):291-304.
81. Morrisey MA, Wedig GJ, Hassan M. Do nonprofit hospitals pay their way? Health Affairs. 1996;15(4):132-144.
82. Ferris JM, Graddy EA. Structural changes in the hospital industry, charity care, and the nonprofit role in health care. Nonprofit and Voluntary Sector Quarterly. 1999;28(1): 18-31.
83. Schlesinger M, Gray B, Bradley E. Charity and community: The role of nonprofit ownership in a managed health care system. J Health Politics Policy Law. 1996;21(4):697-751.
84. Bradley EH, Walker LC. Education and advance care planing in nursing homes: The impact of ownership type. Nonprofit and Voluntary Sector Quarterly. 1998;27(3):339-357.
85. Pelfrey S, Theisen BA. Valuing the community benefits provided by nonprofit hospitals. J Nurs Adm. 1993;23(6):16-21.
86. DiMaggio PJ, Anheier HK. The sociology of nonprofit organizations and sectors. Annual Review of Sociology 1990;16:137-159.
87. Salamon LM, Anheier HK. In search of the non-profit sector I: The question of definitions. Voluntas 1992;3(2): 125-152.
88. Morgeson FP, Hofmann DA. The structure and function of collective constructs: Implications for multilevel research and theory development. Academy of Management Review. 1999;24(2):249-255.
89. Perry JL, Rainey HG. The public-private distinction in organization theory: A critique and research strategy. Academy of Management Review. 1988;13(2):182-201.
90. Kanter RM, Summers DV. Doing well while doing good: Dilemmas of performance measurement in nonprofit organizations and the need for a multi-constituency approach. In: Powell WW, ed. The nonprofit sector: A research handbook. New Haven, CT: Yale University Press; 1988:154-166.
91. Klein KJ, Tosi H, Cannella AA. Multilevel theory building: Benefits, barriers, and new developments. Academy of Management Reviews. 1999;24(2):243-248.
92. Silber JH, Rosenbaum PR, Ross RN. Comparing the contributions of groups of predictors: Which outcomes vary with hospital rather than patient characteristics? Journal of the American Statistical Association. 1995;90(429):7-18.
93. Mark BA, Burleson DL. Measurement of patient outcomes: Data availability and consistency across hospitals. J Nurs Adm. 1995:25(4):52-59.
94. Schesinger M, Marmor TR, Smithey R. Nonprofit and forprofit medical care: Shifting roles and implications for health policy. J Health Politics Policy Law. 1987;12(3):427-457.
95. Hurley RE, Kaluzny AD. Organizational ecology and health services research: New answers for old and new questions. Med Care Review. 1987;44(2):235-255.