Document Detail


Hospital competition and financial performance: the effects of ambulatory surgery centers.
MedLine Citation:
PMID:  21433218     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Ambulatory surgery centers (ASCs), limited-service alternatives for treating surgery patients not requiring an overnight stay, are a health-care service innovation that has proliferated in the U.S. and other countries in recent years. This paper examines the effects of ASC competition on revenues, costs, and profit margins of hospitals that also provided these services as a subset of their general services in Arizona, California, and Texas during the period 1997-2004. We identified all ASCs operating during the period in the 49 Dartmouth Hospital Referral Regions in the three states. The results of fixed effects models suggested that ASCs are meaningful competitors to general hospitals. We found downward pressure on revenues, costs, and profits in general hospitals associated with ASC presence. Copyright © 2010 John Wiley & Sons, Ltd.
Authors:
Kathleen Carey; James F Burgess; Gary J Young
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health economics     Volume:  20     ISSN:  1099-1050     ISO Abbreviation:  Health Econ     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-03-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9306780     Medline TA:  Health Econ     Country:  England    
Other Details:
Languages:  eng     Pagination:  571-81     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 John Wiley & Sons, Ltd.
Affiliation:
VA Center for Health Quality, Outcomes and Economic Research, Boston University School of Public Health, Bedford, MA, USA. kcarey@bu.edu.
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