Document Detail


Adverse Events for Hospitalized Medicare Patients: Is There a Difference between HMO and FFS Enrollees?
MedLine Citation:
PMID:  24074128     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The study examines the likelihood of adverse outcomes associated with selected hospital safety events for two groups of Medicare patients: those enrolled in health maintenance organizations (HMOs) versus those enrolled in fee-for-service (FFS) insurance plans. The authors hypothesize that HMO patients may receive different qualities of hospital services and/or physician services relative to FFS patients. Based on the Healthcare Cost and Utilization Project State Inpatient Database, the authors include discharge data on all hospitalized elderly Medicare patients in Florida in 2002 and use multivariate logistic regression models with adjustments for hospital-level clusters. The findings demonstrate that, after adjusting for hospital quality, Medicare HMO patients were at higher risk of adverse outcomes than Medicare FFS patients for iatrogenic pneumothorax, accidental puncture or laceration, and postoperative respiratory failure.
Authors:
Jayasree Basu; Bernard Friedman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Social work in public health     Volume:  28     ISSN:  1937-190X     ISO Abbreviation:  Soc Work Public Health     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2013-09-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101308228     Medline TA:  Soc Work Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  639-51     Citation Subset:  H    
Affiliation:
a Agency for Healthcare Research and Quality , Rockville , Maryland , USA.
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