Hospital markets in the United States, 2007–2017

Johnson, Garret; Frakt, Austin B.

doi:10.1016/j.hjdsi.2020.100445

Cited by 8 publications

(6 citation statements)

References 19 publications

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“…29 Systems have greater financial resources, so system affiliation can serve as an alternative to closure, improve infrastructure investment at rural hospitals, and help build referral networks. 30 However, hospital mergers increase market power and lead to increased prices. 31 There is also concern that systems acquire rural hospitals with the intent of downsizing or shutting them down; while strategic downsizing may address costly duplication of services, it can also drain resources from the local community.…”

Section: Evolution Of Rural Hospital Markets: Consolidation and Bypassmentioning

confidence: 99%

“…About 11% of rural hospitals merged between 2005 and 2016, and the effect of this consolidation is unclear 29 . Systems have greater financial resources, so system affiliation can serve as an alternative to closure, improve infrastructure investment at rural hospitals, and help build referral networks 30 . However, hospital mergers increase market power and lead to increased prices 31 .…”

Section: Evolution Of Rural Hospital Markets: Consolidation and Bypassmentioning

confidence: 99%

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Reimagining and reinvesting in rural hospital markets

Carroll

Planey²,

Kozhimannil

2022

Health Services Research

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Section: Evolution Of Rural Hospital Markets: Consolidation and Bypassmentioning

confidence: 99%

Section: Evolution Of Rural Hospital Markets: Consolidation and Bypassmentioning

confidence: 99%

Reimagining and reinvesting in rural hospital markets

Carroll

Planey²,

Kozhimannil

2022

Health Services Research

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“…An increasingly intensified hospital market competition was found in our study in the past decade, which was opposite to that in the US. 28,42 In 2017, the competition level in China was even more intense than that in the US, with an HHI of 0.26 as measured by inpatient services, compared with 0.58 in the US. 43 During the study period, competition within public hospitals changed very little, while competition within private hospitals and the overall degree of competition in hospital market increased dramatically.…”

Section: Hospital Competitionmentioning

confidence: 99%

The Evolving Hospital Market in China After the 2009 Healthcare Reform

Jiang

Pan

2020

INQUIRY

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Since the initiation of national healthcare reform in 2009, China’s hospital market has witnessed significant change. To provide a brief description about its evolving process, China Health Statistical Yearbook data and Sichuan administrative data from 2009 to 2017 were used in this article. An overall upward trend of hospital delivery capacity was found in this study, which increased from 3.12 million beds and 1.09 million doctors in 2009 to 6.12 million and 1.80 million in 2017, respectively, while the primary healthcare institutions presented fairly slow development pace. Growing proportion of medical resources and patients gathered in hospitals, especially tertiary hospitals. While private hospitals demonstrated an increasingly important role in hospital market with growing share of capacity and service, their average capacity, especially the human resource, was found to be much lower than that of public hospitals and the gaps are still widening. The competition among hospitals grouped by homogeneous ownership types has predominated the increasingly intensified hospital market competition in China. In order to adapt to the raising demand of health care in China, it is highly recommended that strategies forged at governmental levels be focused on primary care promotion, guiding the development of private hospitals as well as on promoting orderly competition in the hospital market.

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“…Administrative ED data are often used by policy researchers to address questions about access to care, quality of care, and ED staffing. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 Thus, reliance on inaccurate data sources could hinder or even misinform such research as well as subsequent efforts to improve access to and quality of care.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the American Hospital Association Annual Survey for health services research in emergency medicine

et al. 2022

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Objectives Emergency department (ED) data are often used to address questions about access to and quality of emergency care. Our objective was to compare one of the most commonly used data sources for national ED information, the American Hospital Association (AHA) Annual Survey, with a criterion database: the National Emergency Department Inventory (NEDI)–USA data set. Methods We compared the 2015 and 2016 AHA surveys to the following 3 criterion standards: (1) the 2015 and 2016 NEDI‐USA databases, which have information about all US EDs, including merged data from (2) Council of Teaching Hospitals (COTH) and (3) the Critical Access Hospital (CAH) program. We present descriptive results about the number of EDs in each data set; total and median visit volumes; locations in rural areas; and COTH, CAH, and freestanding ED (FSED) status. Results The AHA survey identified 3893 US EDs in 2015. These EDs had a total annual visit volume of 129,197,493 visits, with a median of 22,772 visits (interquartile range, 8311–47,938). Compared with the NEDI‐USA, the AHA included 1433 fewer EDs (−27%; 95% confidence interval [CI], −28% to −26%) and 23,615,163 (−15%) fewer visits. Specifically, AHA was missing 245 (−22%; 95% CI, −24% to −19%) of those located in rural areas, 268 (−20%; 95% CI, −22% to −18%) in a CAH, and 240 (−47%; 95% CI, −51% to −42%) FSEDs. We saw similar results using 2016 data. Conclusions Although several aggregated results were similar between the compared data sources, the AHA data set excluded many US EDs, including many rural EDs and FSEDs. Consequently, the AHA underreported total ED visits by 15%. We encourage data users to be cautious when interpreting results from any 1 ED data source, including the AHA.

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Hospital markets in the United States, 2007–2017

Cited by 8 publications

References 19 publications

Reimagining and reinvesting in rural hospital markets

Reimagining and reinvesting in rural hospital markets

The Evolving Hospital Market in China After the 2009 Healthcare Reform

Evaluation of the American Hospital Association Annual Survey for health services research in emergency medicine

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