PMID: 8606560Apr 1, 1996Paper

Differentiation and specialization in the California hospital industry 1983 to 1988

Medical Care
J ZwanzigerL Simonson

Abstract

This article examines changes in the service mix of California hospitals as part of their response to shifts in the system of reimbursement between 1983 and 1988. The Hospital Discharge Data Set and the Annual Hospital Disclosure Report produced by California Office of Statewide Health Planning and Development were used in this study. Characteristics of inpatient hospital services in California before and after the introduction of new reimbursement mechanisms (including the Medicare Prospective Payment System [PPS] and the growth of selective contracting plans) were compared. The factors that influence two measures of hospital service mix, one focusing on specialization and the other on differentiation, were studied. The factors included hospital characteristics and changes in hospital reimbursement. Variables describing a hospital's service mix and the level in its market were constructed from data in the annual discharge abstracts. Data pertaining to average hospital costs and reimbursements under the Medicare PPS were drawn from a file containing a 20% sample of hospital stay records for the year of PPS. Other hospital data, such as ownership and bed size, were taken from the California Annual Disclosure Report data set. The...Continue Reading

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Citations

Dec 18, 2013·Health Care Management Science·Mareike HeimeshoffLukas Kwietniewski
Jan 1, 2008·Journal of Health Organization and Management·Patrick A Rivers, Saundra H Glover
Sep 18, 2001·Journal of Health Economics·R Town, G Vistnes
Mar 26, 2003·Health Services Research·Kelly J DeversLawrence P Casalino
Jun 8, 2002·BMC Health Services Research·Dana B MukamelAnil Bamezai
May 9, 2014·Health Policy·Laura Mariani, Dario Cavenago
Mar 5, 2013·Social Science & Medicine·Silvio Daidone, Andrew Street
May 20, 2016·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Lukas KwietniewskiJonas Schreyögg
Sep 11, 2010·Medical Care Research and Review : MCRR·Askar ChukmaitovRobert G Brooks
Dec 6, 2018·The International Journal of Health Planning and Management·Eugenio Anessi-PessinaMarco Giovanni Rizzo
Nov 2, 2019·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Hanh Q Trinh, James W Begun
Jan 28, 2015·Anesthesia and Analgesia·David B GlickAvery Tung
Apr 18, 2019·International Journal of Environmental Research and Public Health·Pei-Jian LinShan-Lin Huang
Oct 5, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Jia LiLing Ma
Sep 1, 2016·Health Care Management Science·Lukas Kwietniewski, Jonas Schreyögg
Mar 2, 2017·Health Care Management Science·Lukas Kwietniewski, Jonas Schreyögg

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