한국보건사회연구원 전자도서관

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기사

Hospital Ownership and Financial Performance: What Explains the Different Findings in the Empirical Literature? /

개인저자
Shen, Yu-Chu. et al
수록페이지
41-68 p.
발행일자
2007.03.21
출판사
Blue Cross Association
초록
[영문]This study applies meta-analytic methods to conduct a quantitative review of the empirical literature on hospital ownership since 1990. We examine four financial outcomes across 40 studies: cost, revenue, profit margin, and efficiency. We find that variation in the magnitudes of ownership effects can be explained by a study's research focus and methodology. Studies using empirical methods that control for few confounding factors tend to find larger differences between for-profit and not-for-profit hospitals than studies that control for a wider range of confounding factors. Functional form and sample size also matter. Failure to apply log transformation to highly skewed expenditure data yields misleadingly large estimated differences between for-profits and not-for-profits. Studies with fewer than 200 observations also produce larger point estimates and wide confidence intervals.