This project will use data from the American Hospital Association Annual Survey of Hospitals, a survey of managed care organizations, the State Inpatient Database (SID), and several additional data sources to compare safety net and non-safety net hospitals on a variety of dimensions of performance. Specifically, the project will assess differential effects of health care market structure on safety net and non-safety net hospitals with regard to participation in hospital systems and managed care networks, financial performance, service offerings, and provision of charity care.. The project's methodologic contributions will consist of exploring alternative approaches for identifying and classifying safety net hospitals, and using hospital financial data from selected states and the discharge data from the SID to develop and validate measures of charity care based on discharge data.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Research Program Projects (P01)
Project #
1P01HS010770-01
Application #
6334661
Study Section
Special Emphasis Panel (ZHS1-HSDG-B (01))
Project Start
2000-07-01
Project End
2005-06-30
Budget Start
Budget End
Support Year
1
Fiscal Year
2000
Total Cost
Indirect Cost
Name
Rand Corporation
Department
Type
DUNS #
City
Santa Monica
State
CA
Country
United States
Zip Code
90401
Escarce, Jose J; Kapur, Kanika (2009) Do patients bypass rural hospitals? Determinants of inpatient hospital choice in rural California. J Health Care Poor Underserved 20:625-44
Gresenz, Carole Roan; Rogowski, Jeannette; Escarce, Jose J (2009) Community demographics and access to health care among U.S. Hispanics. Health Serv Res 44:1542-62
Gresenz, Carole Roan; Rogowski, Jeannette; Escarce, Jose J (2008) Individuals'use of care while uninsured: effects of time since episode inception and episode length. J Natl Med Assoc 100:1394-404
Bao, Yuhua; Fox, Sarah A; Escarce, Jose J (2007) Socioeconomic and racial/ethnic differences in the discussion of cancer screening: ""between-"" versus ""within-"" physician differences. Health Serv Res 42:950-70
Kapur, Kanika; Rogowski, Jeannette A; Freedman, Vicki A et al. (2006) Socioeconomic status and medical care expenditures in Medicare managed care. J Health Care Poor Underserved 17:876-98