Hospital Type and Patient Outcomes: An Empirical Examination Using AMI Re-admission and Mortality Records

Paul Jensen, Elizabeth Webster () and Julia Witt

Melbourne Institute Working Paper Series from Melbourne Institute of Applied Economic and Social Research, The University of Melbourne

Abstract: This paper investigates whether there are differences in patient outcomes across different types of hospitals using patient-level data on re-admission and mortality associated with acute myocardial infarction (AMI). Hospitals are grouped according to their ownership status (private, teaching, 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 treatment affects the likelihood of various outcomes based on unplanned re-admission and mortality. A hazard rate model is used to assess the effect of hospital type on patient outcome. Control variables included in the estimating model are patient-level characteristics such as age, gender, co-morbidity, country of birth, and indigenous, marital and socio-economic status. We find that there are significant differences across hospital types in the outcomes observed for patients presenting with their first AMI – private hospitals persistently outperform teaching, non-teaching and country hospitals. Interestingly, we find that result is that the impact of hospital type is quite robust to the definition of “patient outcomes” that we adopt and our attribution strategy, but not to whether we include multiple-hospital patients.

Keywords: mortality; acute myocardial infarction; hospital performance; hazard model (search for similar items in EconPapers)
Pages: 29 pages
Date: 2007-11
New Economics Papers: this item is included in nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
http://melbourneinstitute.unimelb.edu.au/downloads ... series/wp2007n31.pdf (application/pdf)

Related works:
Journal Article: Hospital type and patient outcomes: an empirical examination using AMI readmission and mortality records (2009)
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:iae:iaewps:wp2007n31

Access Statistics for this paper

More papers in Melbourne Institute Working Paper Series from Melbourne Institute of Applied Economic and Social Research, The University of Melbourne Melbourne Institute of Applied Economic and Social Research, The University of Melbourne, Victoria 3010 Australia. Contact information at EDIRC.
Bibliographic data for series maintained by Sheri Carnegie ().