Hospital quality and intensity of spending: Is there an association?

Health Affairs

Volumn 28, Issue 4, 2009, Pages

  Yasaitis, Laura ^a   Fisher, Elliott S ^b   Skinner, Jonathan S ^b   Chandra, Amitabh ^c  

^a DARTMOUTH MEDICAL SCHOOL   (United States)

^b DARTMOUTH INSTITUTE FOR HEALTH POLICY AND CLINICAL PRACTICE   (United States)

^c HARVARD UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE QUALITY; HOSPITAL; MEDICAL INFORMATION; MEDICARE; UNITED STATES;

ECONOMICS, HOSPITAL; HOSPITAL COSTS; HOSPITALS; QUALITY INDICATORS, HEALTH CARE; UNITED STATES;

EID: 67651238319     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.28.4.w566     Document Type: Article

References (33)

1. E.S. Fisher et al., "The Implications of Regional Variations in Medicare Spending, Part 1: The Content, Quality, and Accessibility of Care," Annals of Internal Medicine 138, no. 4 (2003): 273-287;
2. E.S. Fisher et al., "The Implications of Regional Variations in Medicare Spending, Part 2: Health Outcomes and Satisfaction with Care," Annals of Internal Medicine 138, no. 4 (2003): 288-298;
3. K. Baicker and A. Chandra, "Medicare Spending, the Physician Workforce, and Beneficiaries' Quality of Care," Health Affairs 23 (2004): w184-w197 (published online 7 April 2004; 10.1377/hlthaff.w4 .184);
4. and A. Chandra and D.O. Staiger, "Productivity Spillovers in Healthcare: Evidence from the Treatment of Heart Attacks," Journal of Political Economy 115 (2007): 103-140.
5. Fisher et al., "The Implications of Regional Variations in Medicare Spending, Part 1";
6. and Baicker and Chandra, "Medicare Spending."
7. B. Starfield et al., "Variability in Physician Referral Decisions," Journal of the American Board of Family Practice 15, no. 6 (2002): 473-480.
8. E.S. Fisher et al., "Creating Accountable Care Organizations: The Extended Hospital Medical Staff," Health Affairs 26, no. 1 (2007): w44-w57 (published online 5 December 2006; 10.1377/hlthaff.26.1.w44).
9. Centers for Medicare and Medicaid Services, "Download Database - Hospital Compare," August 2008, http://www.hospitalcompare.hhs.gov/ Download/DownloadDB.asp (accessed 5 May 2009).
10. Ibid.;
11. E.H. Bradley et al., "Hospital Quality for Acute Myocardial Infarction: Correlation among Process Measures and Relationship with Short-Term Mortality," Journal of the American Medical Association 296, no. 1 (2006): 72-78;
12. R.M. Werner and E.T. Bradlow, "Relationship between Medicare's Hospital Compare Performance Measures and Mortality Rates," Journal of the American Medical Association 296, no. 22 (2006): 2694-2702;
13. A.K. Jha et al., "Care in U.S. Hospitals - The Hospital Quality Alliance Program," New England Journal of Medicine 353, no. 3 (2005): 265-274;
14. and A.K. Jha et al., "The Inverse Relationship between Mortality Rates and Performance in the Hospital Quality Alliance Measures," Health Affairs 26, no. 4 (2007): 1104-1110.
15. Jha et al., "Care in U.S. Hospitals";
16. and Jha et al., "The Inverse."
17. Ibid.
18. M.B. McClellan and D.O. Staiger, "Comparing the Quality of Health Care Providers," in Frontiers in Health Policy Research, vol. 3 (Cambridge, Mass.: MIT Press, 2000), 113-136.
19. Fisher et al., "The Implications of Regional Variations in Medicare Spending, Part 1";
20. Fisher et al., "The Implications of Regional Variations in Medicare Spending, Part 2";
21. and J.S. Skinner, E.S. Fisher, and J.E. Wennberg, "The Efficiency of Medicare," in Analyses in the Economics of Aging, ed. D.A. Wise (Chicago: University of Chicago Press, 2005).
22. E.S. Fisher et al., "Variations in the Longitudinal Efficiency of Academic Medical Centers," Health Affairs 23 (2004): VAR-19-VAR-32 (published online 7 October 2004; 10.1377.hlthaff.var.19).
23. J.E. Wennberg et al., The Care of Patients with Severe Chronic Illness: An Online Report on the Medicare Program by the Dartmouth Atlas Project, 2006 http://www.dartmouthatlas.org/atlases/2006-Chronic-Care-atlas. pdf (accessed 15 May 2009).
24. Jha et al., "Care in U.S. Hospitals."
25. T. Higashi et al., "Relationship between Number of Medical Conditions and Quality of Care," New England Journal of Medicine 356, no. 24 (2007): 2496-2504.
26. Bradley et al., "Hospital Quality";
27. and Werner and Bradlow, "Relationship."
28. Jha et al., "The Inverse Relationship."
29. P.B. Bach, D. Schrag, and C.B. Begg, "Resurrecting Treatment Histories of Dead Patients: A Study Design That Should Be Laid to Rest," Journal of the American Medical Association 292, no. 22 (2004): 2765-2770.
30. L.C. Baker, E.S. Fisher, and J. E. Wennberg, "Variations in Hospital Resource Use for Medicare and Privately Insured Populations in California," Health Affairs 27, no. 2 (2008): w123-w134 (published online 12 February 2008; 10.1377/hlthaff.27.2.w123).
31. K. Baicker and A. Chandra, "The Productivity of Physician Specialization: Evidence from the Medicare Program," American Economic Review 94, no. 2 (2004): 357-361.
32. Chandra and Staiger, "Productivity Spillovers";
33. and J.S. Skinner, D.O. Staiger, and E.S. Fisher, "Is Technological Change in Medicine Always Worth It? The Case of Acute Myocardial Infarction," Health Affairs 25, no. 2 (2006): w34-w47 (published online 7 February 2006; 10.1377/hlthaff.25.w34).