Journal article

HOSPITAL TYPE AND PATIENT OUTCOMES: AN EMPIRICAL EXAMINATION USING AMI READMISSION AND MORTALITY RECORDS

Paul H Jensen, Elizabeth Webster, Julia Witt

HEALTH ECONOMICS | WILEY | Published : 2009

Abstract

This paper investigates whether there are differences in patient outcomes across different types of hospitals using patient-level data on readmission and mortality associated with acute myocardial infarction (AMI). Hospitals are grouped according to their ownership type (private, public teaching, public non-teaching) and their location (metropolitan, country and remote country). Using data collected from 130 Victorian hospitals on 19,000 patients admitted to a hospital with their first AMI between January 2001 and December 2003, we consider how the likelihood of unplanned re-admission and mortality varies across hospital type. We find that there are significant differences across hospital ty..

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Funding Acknowledgements

Thanks are due to Phyllis Rosendale, Tom Van Ourti, Stefanie Schurer, Tony Scott, Christine Stone, Vijaya Sundararajan, Bill Barger, Jongsay Yong and seminar participants at the Department of Human Services, the Centre for Health Economics (Monash University), the School of Population Health (University of Melbourne), the Melbourne Institute of Applied Economic and Social Research (University of Melbourne) and two anonymous referees for helpful comments on this paper. We would also like to thank Alfons Palangkaraya and Jennie Shepheard and for vital assistance in collating and interpreting the data. Views expressed represent those of the authors and all errors remain their responsibility. This paper has been funded through an ARC Linkage Grant (LP0455325) with partners the Victorian Department of Human Services.