Measuring Efficiency: The Association Of Hospital Costs And Quality Of Care Export

@article{jha_cost_qual09, abstract = {Providers with lower costs may be more efficient and, therefore, provide better care than those with higher costs. However, the relationship between risk-adjusted costs (often described as efficiency) and quality is not well understood. We examined the relationship between hospitals' risk-adjusted costs and their structural characteristics, nursing levels, quality of care, and outcomes. U.S. hospitals with low risk-adjusted costs were more likely to be for-profit, treat more Medicare patients, and employ fewer nurses. They provided modestly worse care for acute myocardial infarction and congestive heart failure but had comparable rates of risk-adjusted mortality. We found no evidence that low-cost providers provide better care. 10.1377/hlthaff.28.3.897}, author = {Jha, Ashish K. and Orav, John E. and Dobson, Allen and Book, Robert A. and Epstein, Arnold M.}, citeulike-article-id = {4776894}, citeulike-linkout-0 = {http://dx.doi.org/10.1377/hlthaff.28.3.897}, citeulike-linkout-1 = {http://content.healthaffairs.org/cgi/content/abstract/28/3/897}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/19414903}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=19414903}, day = {1}, doi = {10.1377/hlthaff.28.3.897}, journal = {Health Aff}, keywords = {cost, efficiency, quality}, month = {May}, number = {3}, pages = {897--906}, posted-at = {2009-06-08 15:17:49}, priority = {2}, title = {Measuring Efficiency: The Association Of Hospital Costs And Quality Of Care}, url = {http://dx.doi.org/10.1377/hlthaff.28.3.897}, volume = {28}, year = {2009} }

TY - JOUR ID - jha_cost_qual09 L3 - citeulike-article-id:4776894 N2 - Providers with lower costs may be more efficient and, therefore, provide better care than those with higher costs. However, the relationship between risk-adjusted costs (often described as efficiency) and quality is not well understood. We examined the relationship between hospitals' risk-adjusted costs and their structural characteristics, nursing levels, quality of care, and outcomes. U.S. hospitals with low risk-adjusted costs were more likely to be for-profit, treat more Medicare patients, and employ fewer nurses. They provided modestly worse care for acute myocardial infarction and congestive heart failure but had comparable rates of risk-adjusted mortality. We found no evidence that low-cost providers provide better care. 10.1377/hlthaff.28.3.897 IS - 3 JF - Health Aff EP - 906 TI - Measuring Efficiency: The Association Of Hospital Costs And Quality Of Care VL - 28 SP - 897 KW - cost KW - efficiency KW - quality AU - Jha, Ashish AU - Orav, John AU - Dobson, Allen AU - Book, Robert AU - Epstein, Arnold PY - 2009/05/01/ UR - http://dx.doi.org/10.1377/hlthaff.28.3.897 ER -