Document Detail


Effects of contract management on hospital performance.
MedLine Citation:
PMID:  6490377     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The performance of contract-managed (CM) hospitals is compared to that of a set of internally managed hospitals matched on a variety of hospital and market area characteristics. The performance of the study hospitals was similar to that of the matches in the years before the onset of contract management. Among 12 performance indicators, only occupancy rates differed significantly in the two samples in the years before contract management. Occupancy rates were lower on average in the hospitals which later became contract managed. During the 3 years following the onset of contract management, the CM hospitals showed no improvement in productive efficiency but did show changes in the way services were priced. The ratio of gross patient revenue to total expense increased significantly in the CM hospitals relative to their matches. This increase also appears to be associated with an increase in net profits in the CM hospitals relative to their matches.
Authors:
J E Kralewski; B Dowd; L Pitt; E L Biggs
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Health services research     Volume:  19     ISSN:  0017-9124     ISO Abbreviation:  Health Serv Res     Publication Date:  1984 Oct 
Date Detail:
Created Date:  1984-12-03     Completed Date:  1984-12-03     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0053006     Medline TA:  Health Serv Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  479-98     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Contract Services / economics*
Financial Management / economics*
Hospital Administration / economics*
Hospitals / utilization
Income
Management Audit
Mathematics
Models, Theoretical
United States
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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