Uncompensated Hospital Care

Rp, Duncan

doi:10.1177/002570879204900302

Cited by 14 publications

(6 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Then managed care expanded and reduced costs while also reducing financial returns to providers. The proportion of uncompensated care also rose over time (Duncan 1992). Providers' stress was further exacerbated by patients' increased expectations and demands in such areas as technology, quality, and access.…”

mentioning

confidence: 99%

Does System Membership Enhance Financial Performance in Hospitals?

Tennyson

Fottler

2000

Med Care Res Rev

View full text Add to dashboard Cite

While hospitals continue to join multi-institutional systems, empirical data on the benefits of system membership are ambiguous. This study examines the same 166 Florida hospitals in 1986 and 1992. System membership, in general, did not enhance financial returns (measured by operating margin, total margin, and return on assets) for the pooled data or for either year. In fact, a significant negative relationship is noted in 1986. However, when only hospitals affiliated with national systems (in this study, American Medical International, Hospital Corporation of America, or Humana) are analyzed, a positive statistically significant association is found for two of the above three profitability indicators for both the pooled data and for 1986. However, there was no statistically significant impact noted for 1992. Reasons for the apparent discrepancy in the impact of national versus local/regional systems on hospital financial performance and the apparent declining ability of national systems to generate above-average returns are explored.

show abstract

mentioning

confidence: 99%

Does System Membership Enhance Financial Performance in Hospitals?

Tennyson

Fottler

2000

Med Care Res Rev

View full text Add to dashboard Cite

show abstract

“…While this study appeared to recommend interhospital transfer of SAH patients to large-volume hospitals, other studies question this practice as transferred patients required more resources, had a worse prognosis than patients who visited hospitals directly, had delayed boarding time, and had extended treatment period in intensive care units. Therefore, the benefits and decisions to transfer patients to large-volume hospitals require careful consideration ( 15 16 17 18 19 ).…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Clinical Outcome in Subarachnoidal Hemorrhage Patients with Emergency Medical Service Usage and Interhospital Transfer

et al. 2015

View full text Add to dashboard Cite

Prompt diagnosis and appropriate transport of patients with subarachnoid hemorrhage (SAH) is critical. We aimed to study differences in clinical outcomes by emergency medical services (EMS) usage and interhospital transfer in patients with SAH. We analyzed the CAVAS (CArdioVAscular disease Surveillance) database which is an emergency department-based, national cohort of cardiovascular disease in Korea. Eligible patients were adults with non-traumatic SAH diagnosed between January 2007 and December 2012. We excluded those whose EMS use and intershopital transfer data was unknown. The primary and secondary outcomes were mortality and neurologic status at discharge respectively. We compared the outcomes between each group using multivariable logistic regressions, adjusting for sex, age, underlying disease, visit time and social history. Of 5,461 patients with SAH, a total of 2,645 were enrolled. Among those, 258 used EMS and were transferred from another hospital, 686 used EMS only, 1,244 were transferred only, and 457 did not use EMS nor were transferred. In the regression analysis, mortality was higher in patients who used EMS and were transferred (OR 1.40, 95% CI 1.02-1.92), but neurologic disability was not meaningfully different by EMS usage and interhospital transfer. In Korea, SAH patients' mortality is higher in the case of EMS use or receiving interhospital transfer.

show abstract

“…Clearly, health insurance coverage is a critical element in the question of access to medical care. In particular, the absence of health insurance is associated with lower utilization rates for various health care services, especially primary care (Duncan, 1992;Friedman, 1991). Rural residents have traditionally been counted among the groups that are disproportionately without health insurance (Korczyk, 1989).…”

Section: Background and Significancementioning

confidence: 99%

“…The causes of these longstanding residential differences in rates of health insurance coverage have not been well established. Differences could be due to the more stringent eligibility requirements for Medicaid in rural states (Summer, 1991), differences in industrial and occupational structures, and differences in employment opportunities (Duncan, 1992;Rural Sociological Society Task Force on Persistent Rural Poverty, 1993;Tickamyer, 1992). of unemployment and a higher rate of men not in the labor force than urban areas.…”

Section: Background and Significancementioning

confidence: 99%

Changes in Health Insurance Coverage Within Rural and Urban Environments—1977 to 1987

Duncan¹,

Seccombe²,

Amey³

1995

The Journal of Rural Health

Self Cite

View full text Add to dashboard Cite

This study examines changes in the health insurance coverage of the nonelderly population in rural and urban areas between 1977 and 1987, using data from the National Medical Care Expenditure Survey (NMCES) and the National Medical Expenditure Survey (NMES). It was designed to test the hypothesis that differences in the rates of health insurance coverage in rural and urban areas have diminished over time, and to explore the composition of changes in coverage within rural and urban environments. The data suggest that the proportions of the populations that are without health insurance in rural and urban areas have converged since 1977. Although both rural and urban settings witnessed increases in the proportion of their populations without health insurance from any source, urban regions experienced a greater increase than did rural areas. These changes occurred among most subgroups within the population. In no subgroup did the percentage of the population without insurance in urban areas exceed that found in rural areas in either 1977 or 1987.

show abstract

Uncompensated Hospital Care

Cited by 14 publications

References 52 publications

Does System Membership Enhance Financial Performance in Hospitals?

Does System Membership Enhance Financial Performance in Hospitals?

The Relationship between Clinical Outcome in Subarachnoidal Hemorrhage Patients with Emergency Medical Service Usage and Interhospital Transfer

Changes in Health Insurance Coverage Within Rural and Urban Environments—1977 to 1987

Contact Info

Product

Resources

About