The association between hospital type and mortality and length of stay: A study of 16.9 million hospitalized medicare beneficiaries

Medical Care

Volumn 38, Issue 2, 2000, Pages 231-245

  Yuan, Zhong ^a,b   Cooper, Gregory S ^a,b   Einstadter, Douglas ^a   Cebul, Randall D ^a   Rimm, Alfred A ^a  

^a CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b METROHEALTH MEDICAL CENTER   (United States)

Author keywords

Hospital type; Length of stay; Mortality

Indexed keywords

AGED; ARTICLE; CLASSIFICATION; COHORT ANALYSIS; FEMALE; HOSPITAL; HUMAN; LENGTH OF STAY; MALE; MEDICARE; MORTALITY; MULTIVARIATE ANALYSIS; NON PROFIT HOSPITAL; POSTOPERATIVE COMPLICATION; PRIVATE HOSPITAL; PUBLIC HOSPITAL; REGRESSION ANALYSIS; RETROSPECTIVE STUDY; RISK; RISK ASSESSMENT; STATISTICS; TEACHING HOSPITAL; UNITED STATES;

AGED; AGED, 80 AND OVER; COHORT STUDIES; FEMALE; HOSPITAL MORTALITY; HOSPITALS; HOSPITALS, OSTEOPATHIC; HOSPITALS, PRIVATE; HOSPITALS, PUBLIC; HOSPITALS, TEACHING; HOSPITALS, VOLUNTARY; HUMANS; LENGTH OF STAY; MALE; MEDICARE; MULTIVARIATE ANALYSIS; ODDS RATIO; POSTOPERATIVE COMPLICATIONS; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES; RISK ADJUSTMENT; RISK ASSESSMENT; UNITED STATES;

EID: 0034133660     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-200002000-00012     Document Type: Article

References (30)

1. Blumenthal D, Meyer GS. The future of the academic medical center under health care reform. N Engl J Med 1993;329:1812-1814.
2. Iglehart JK. Rapid changes for academic medical centers. N Engl J Med 1994;331:1931-1935.
3. Epstein AM. US teaching hospitals in the evolving health care system. JAMA 1995;273:1203-1207.
4. Iglehart JK. Rapid changes for academic medical centers. N Engl J Med 1995;332:407-411.
5. Kassirer JP. Academic medical centers under siege. N Engl J Med 1994;331:1370-1371.
6. Hartz AJ, Krakauer H, Kuhn EM, et al. Hospital characteristics and mortality rates. N Engl J Med 1989;321:1720-1725.
7. Kuhn EM, Hartz AJ, Krakauer H, et al. The relationship of hospital ownership and teaching status to 30- and 180-day adjusted mortality rates. Med Care 1994;32:1098-1108.
8. Rosenthal GE, Harper DL, Quinn LM, et al. Severity-adjusted mortality and length of stay in teaching and nonteaching hospitals: results of a regional study. JAMA 1997;278:485-490.
9. lezzoni LI, Shwartz M, Moskowitz MA, et al. Illness severity and costs of admissions at teaching and nonteaching hospitals. JAMA 1990;264:1426-1431.
10. Taylor DH, JR, Whellan DJ, et al. Effects of admission to a teaching hospital on the cost and quality of care for Medicare beneficiaries. N Engl J Med 1999;340:293-299.
11. Fisher ES, Baron JA, Malenka DJ, et al. Overcoming potential pitfalls in the use of Medicare data for epidemiologic research. Am J Public Health 1990;80:1487-1490.
12. Harrison ML, Graff LA, Roos NP, et al. Discharging patients earlier from Winnipeg hospitals: does it adversely affect quality of care? Can Med Assoc J 1995;153:745-751.
13. Oldridge NB, Yuan Z, Stoll JE, et al. Lumbar spine surgery and mortality among Medicare beneficiaries, 1986. Am J Public Health 1994:84:1292-1298.
14. American Hospital Association Annual Survey of Hospital Data Base Documentation Manual. Chicago, Ill: American Hospital Association; 1992:1-47.
15. Satariano WA, Ragland DR. The effect of comorbidity on 3-year survival of women with primary breast cancer. Ann Intern Med 1994;120:104-110.
16. Cooper GS, Yuan Z, Rosenthal GE, et al. Lack of gender and racial differences in surgery and mortality in hospitalized Medicare beneficiaries with bleeding peptic ulcer. J Gen Intern Med 1997;12:485-490.
17. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982;143:29-36.
18. Rosenthal GE, Harper DL. Cleveland Health Quality Choice: a model for community-based outcomes assessment. Jt Comm J Qual Improv 1994;20:425-442.
19. Lee JAH, Morrison SL, Morris JN. Fatality from 3 common surgical conditions in teaching and nonteaching hospitals. Lancet 1957;2:785-790.
20. Lee JAH, Morrison SL, Morris JN. Case fatality in teaching and non-teaching hospitals. Lancet 1960;1:170-171.
21. Ashley JSA, Hewlett A, Morris JN. Case-fatality of hyperplasia of the prostate in 2 teaching and 3 regional-board hospitals. Lancet 1971;2:1308-1311.
22. Keeler EB, Rubenstein LV, Kahn KL, et al. Hospital characteristics and quality of care. JAMA 1992;268:1709-1714.
23. Jencks SF, Williams DK, Kay TL. Assessing hospital-associated deaths from discharge data: the role of lengths of stay and comorbidities. JAMA 1988;260:2240-2246.
24. Miller MG, Miller MS, Fireman B, et al. Variation in practice for discretionary admissions: impact on estimates of quality of hospital care. JAMA 1994;271:1493-1498.
25. Fisher ES, Whaley FS, Krushat M, et al. The accuracy of Medicare's hospital claims data: progress has been made, but problems remain. Am J Public Health 1992;82:243-248.
26. Horn SD, Bulkley G, Sharkey PD, et al. Introhospital differences in severity of illness: problem for prospective payment based on diagnosis-related groups (DRGs). N Engl J Med 1985;313:20-24.
27. Jencks SF, Williams DK, Kay TL. Assessing hospital-associated deaths from discharge data: the role of lengths of stay and comorbidities. JAMA 1988;260:2240-2246.
28. Garber AM, Fughs VR, Silverman JF. Case mix, costs, and outcomes: differences between faculty and community services in a university hospital. N Engl J Med 1984;310:1231-1237.
29. Simmer TL, Nerenz DR, Rutt WM, et al. A randomized, controlled trial of an attending staff service in general internal medicine. Med Care 1991;29:JS31-40.
30. Rubenstein LV, Kahn KL, Brook RH, et al. Changes in quality of care for five diseases measured by implicit review, 1981 to 1986. JAMA 1990:264:1974-1979.