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.
| 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 |
