Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
Results
Showing 1 to 16 of 16 for “"hospital quality"”.
-
Essays on the health economics of hospital quality
This thesis consists of three essays on hospital quality of inpatient care for patients with acute myocardial infarction (AMI) in the United States. First, it explores issues in the measurement of quality, particularly through the estimation of risk-adjusted mortality rates (RAMRs) for hospitals. …
-
What Cost Hospital Quality: Performance Uncertainty Under Market Reform
… production has revealed both economic and quality problems in past eras, and reporting on these problems can be seen to have contributed to pressures for social reform. Yet, the move toward more market-oriented governance structures and design solutions also reflects a wider isomorphic …
-
Hospital quality and medicare payment: A theoretical and empirical investigation
<p>Does Medicare's payment rate for a hospital stay influence the quality of care received by a patient? We examine this question, theoretically and empirically. First, a model is developed which generates the key hypothesis -- that Medicare's payment rate per admission should be positively related …
-
The effect of cost, competition, profit and cost containment policy on hospital quality of care
… of cost containment and related factors on hospital quality of care were studied. A major purpose of this study was to explore the usefulness of Peer Review data in quality of care research. National data (50 states) and a 119-hospital sample from three states with strict cost containment …
-
Estimating institutional quality with instruments : three essays and applications in education and healthcare
… Testing and Estimation -- 3. Estimating Hospital Quality with Quasi-experimental Data.
-
A Modern Statistical Approach to Quality Improvement in Health Care using Quantile Regression
Quality is difficult to measure and compare among medical providers. First, an appropriate metric must be chosen among many potential process-based and patient outcome measures. Further, when comparing providers, one must take into account the fact that patients are not homogeneous across …
-
Implementing a postoperative nausea and vomiting protocol for adult patients undergoing general anesthesia
… increased morbidity and mortality, increased hospital costs, and decreased patient satisfaction. Patient satisfaction is an important hospital quality metric indicator. Up to 80% of patients experience PONV. Anesthesia providers can administer medications that antagonize various receptors to …
-
The Effect of Public Policy on Health Service Providers
… treat than the average patient. To ensure that hospitals are reimbursed an adequate amount for care of indigent populations, Medicare reimburses hospitals an additional percentage amount according to federally set financial schedule. The reimbursement cutoff is discrete: at fifteen percent of a …
-
Hospital Patients' and Nurses' Perceptions of Quality
<p>Hospital quality assurance programs have been provider-oriented, focusing on structure and process elements of care rather than outcomes specific to patient needs and values. This study tested the relationship between quality and value, proposed in <strong>Larrabee'</strong><strong>s …
-
Essays in economics
The first chapter analyzes incentives and quality in hospitals with physician-investors. Proponents of physician ownership argue that it improves care; opponents claim that physician-investors "cherry-pick" profitable patients. This paper uses new data on physician-owned hospitals to estimate a …
-
Essays on Health and Medical Care
… care, the results of previous studies on how hospitals provide the services are mixed. Additionally, hospitals may compete to attract patients and generate spillover effects. Quality of hospitals may in turn differ by market. My two essays apply econometrics models to investigate the effects …
-
A Qualitative Exploration of the Patient Care Experience as Perceived by Hispanic Patients Receiving Care at a Safety-net Facility
… experience is the current federally mandated hospital quality indicator that measures the range of interactions patients have with their hospital admission, which has fiscal and clinical implications for the delivery of care. Many safety-net health care delivery systems, which primarily serve …
-
Avoiding Hospital-Acquired Conditions: A Qualitative Analysis of Early Top Performers
<p>Preventable medical errors in hospitals cost our nation an estimated 180,000 annual deaths and tens of billions of dollars. The Patient Protection and Affordable Care Act mandated improvements in quality and patient safety. The Centers for Medicare and Medicaid Services, acting on these …
-
Certifying America's Best Hospitals: A Comparison of Consumer Oriented Hospital Ranking Systems
BACKGROUND: Publicly available hospital rankings have the potential to improve hospital care by guiding patients to higher quality facilities and spurring quality improvement in lower-ranking hospitals. In 2003 the Centers for Medicare and Medicaid Services started requiring hospitals to report …
-
Exploring Structural Factors that Influence Black Maternal Morbidity: A Case Study of Illinois Hospitals
… opportunities as it relates to accessing care, quality, and level of care, a missed or delayed diagnosis, or not recognizing warning signs (CDC, 2019). Severe maternal morbidities (SMM) such as preeclampsia, hypertension and hemorrhage represent some of the leading causes of maternal death and …
-
ESSAYS ON HOSPITAL REIMBURSEMENT AND QUALITY OF HEALTHCARE PROVISION
This dissertation seeks to investigate how hospital reimbursement policy affects the quality of care provided to patients when providers compete for healthcare labor that is limited in supply. Cost payment systems fully reimburse a provider’s the total cost of healthcare provided, fixed …