Managing the unmanaged: A case study of intra-institutional determinants of uncompensated care at healthcare institutions with differing ownership models

Medical Care

Volumn 46, Issue 8, 2008, Pages 821-828

  Weiner, Saul J ^a   Vangeest, Jonathan ^b   Abrams, Richard I ^c   Moswin, Arthur ^a   Warnecke, Richard ^a  

^a UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

^b MORGAN STATE UNIVERSITY   (United States)

^c RUSH MEDICAL COLLEGE   (United States)

Author keywords

Access to care; Administrative; Vulnerable populations

Indexed keywords

ARTICLE; CASE STUDY; COMPENSATION; EMERGENCY CARE; FEMALE; FINANCIAL MANAGEMENT; HEALTH CARE MANAGEMENT; HEALTH CARE PERSONNEL; HEALTH SERVICE; HOSPITAL COST; HOSPITAL MANAGEMENT; HUMAN; INDIGENT; MALE; MANDATORY PROGRAM; NON PROFIT HOSPITAL; PATIENT CARE; PROFIT; URBAN AREA; COMMUNITY CARE; COMPARATIVE STUDY; ECONOMICS; HEALTH CARE DELIVERY; HOSPITAL; ORGANIZATION AND MANAGEMENT; PUBLIC HOSPITAL; SOCIAL CLASS; STATISTICS; UNIVERSITY HOSPITAL; URBAN POPULATION;

ACADEMIC MEDICAL CENTERS; FEMALE; HEALTH SERVICES ACCESSIBILITY; HOSPITALS, PROPRIETARY; HOSPITALS, PUBLIC; HOSPITALS, VOLUNTARY; HUMANS; MALE; OWNERSHIP; SOCIAL CLASS; UNCOMPENSATED CARE; URBAN POPULATION;

EID: 49649091830     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e318178eaf7     Document Type: Article

References (17)

1. Aday LA. At Risk in America: The Health and Health Care Needs of Vulnerable Populations in the United States. New York, NY: John Wiley & Sons; 2001
2. Lewin ME, Altman S, eds. America's Health Care Safety Net: Intact but Endangered. Washington, DC: National Academy Press; 2000
3. Waitzkin H. The history and contradictions of the health care safety net. Health Serv Res. 2005;40:941-952
4. Gresenz CR, Rogowski J, Escarce JJ. Health care markets, the safety net, and utilization of care among the uninsured. Health Serv Res. 2007;42: 239-264
5. Thorpe KE, Florence CS, Seiber EE. Hospital conversions, margins, and the provision of uncompensated care. Health Aff (Millwood). 2000;19: 187-194
6. Walker DM. Nonprofit, for-profit, and government hospitals; uncompensated care and other community benefits. 2005. GAO-05-743T. Available at: http://www.gao.gov/new.items/d05743t.pdf. Accessed November 18, 2007
7. Needleman J, Lamphere J, Chollet D. Uncompensated care and hospital conversions in Florida. Health Aff (Millwood). 2000;18:125-133
8. Weiner SJ. LaPorte M, Abrams R, et al. Rationing access to care to the medically uninsured: the role of bureaucratic front line discretion at large healthcare institutions. Med Care. 2004;42:298-304
9. Illinois Hospital Association, COMPdata for July 1, 2001 to June 30, 2002
10. Denzin NK, Lincoln YS, eds. Handbook of Qualitative Research. Thousand Oaks, CA: Sage Publications; 2000
11. 1. American Hospital Association. Uncompensated hospital care cost fact sheet. November 2005. Available at: http://www.aha.org/aha/content/2007/pdf/07- uncompensated-care.pdf. Accessed November 13, 2007
12. National Health Interview Survey. National Center for Health Statistics, Centers for Disease Control. Available at: ftp://ftp.cdc.gov/pub/Health- Statistics/NCHS/Survey-Questionnaires/NHIS/2007/English//. Accessed July 3, 2007
13. Current Population Survey. Bureau of Labor Statistics and Bureau of the Census. Availableat: http://www.bls.gov/cps/home.htm. AccessedJuly3, 2007
14. Survey of Consumer Finances. Federal Reserve Board and Department of the Treasury. Administered by National Opinion Research Center at the University of Chicago. Available at: http://www.norc.org/projects/ survey+of+consumer+finances.htm. Accessed July 3, 2007
15. UIC Survey Research Laboratory. Available at: http://www.srl.uic.edu/ Accessed July 3, 2007
16. US GAO. EMTALA Implementation and Enforcement Issues. Report to Congressional Committees 01-742; 2001
17. Weiner SJ, VanGeest J, LaPorte M, et al. Avoiding free care at all costs: a survey of uninsured patients choosing not to seek emergency services at an urban county hospital. J Urban Health. 2006;83:244-252