Research Methodologies in Studies on Concentration of American Hospitals

Authors

  • Migowski Sergio A
  • Migowski Eliana R
  • Libanio, Claudia de S

Abstract

The objective of this study is to know which methodologies and databases that were used in articles treat variables, such as efficiency and costs in the hospital segment and their relationship with the concentration of American organizations. The quantitative methodologies used were, by order of preference, the multivariate statistical analysis and the econometric analysis. The most used data basis was the Annual Report of the American Hospital Association (AHA), followed by data made available by insurance companies having long lasting relationships with the hospitals analyzed, besides the specific case studies. Finally, it was observed that the concentration in the sector is reflected in the reduction in competition and efficiency gains, notably in the first year after the fusion, which does not mean that there was reduction in the prices charged by the hospitals.

Keywords: Hospital, Research method, Concentration, Cost.

References

Kobis DA, Kennedy KM (2006) Capacity Management and Patient Throughout: putting this problem to bed. Healthc Financ Manage 60:80-92.

Bazzoli GJ (2006) The Transition from Excess Capacity to Strained Capacity in U.S. Hospitals. Milbank Q 84:273-304.

Burns DJ et al (2008) Hospital Care and Capacity in the Tri State Region of Indiana, Kentucky and Ohio: analysis and insights. Health Mark Q 25:254-69

Delia D, Wood E (2008) The Dwindling Supply of Empty Beds: implications for hospital surge capacity. Health Aff 27:1688-1694.

Ferrier GD, Leleu H, Valdmanis VG (2009) Hospital Capacity in Large Urban Areas: is there enough in time of need? J Prod Anal 32:103-117.

Weil T (2010) Hospital Megers: a panacea? J Health Serv Res Policy 15: 251-253.

Rechel B et al (2010) Hospital Capacity Planning: from measuring stocks to modelling flows. Bull World Health Organ 88: 632-636.

Cutler DM, Morton FS (2013) Hospitals, Market Share and Consolidation. JAMA 310:1964-1970

Moriya AS, Vogt WB, Gaynor, M (2010) Hospital prices and market structure in the hospital and insurance industries. Health Econ Policy Law 5: 459-479.

Brown TC et al (2012) Current Trends in Hospital Mergers and Acquisitions. Healthc Financ Manage 66:114-118.

Porter M, Teisberg E (2007) Repensando a Saúde: estratégias para melhorar a qualidade e reduzir os custos. Bookman, Porto Alegre.

Bohmer RM (2012) Arquitetura e planejamento na gestão da saúde: alinhando o conhecimento médico à administração do sistema de saúde. Bookman, Porto Alegre.

Porter M, Lee TH (2013) The Strategy That Will Fix Health Care. HBR 91:50-70.

Chapman C, Kern A, Laguecir A (2014) Costing Practices in Healthcare. Account Horiz 28:353-364

Groff JE, Lien D, Su J (2007) Measuring Efficiency Gains From Hospitals Mergers. Res Healthcare Management ii:77-90.

Fink JN, Burns SF (2014) Combining Forces to Manage the Continuum of Care. Healthc Financ Manage 68:58-64.

Burik D, Dixon T (2013) What’s Really Happening with US Health Systems Consolidation. Available via Navigant Healthcare Pulse III. http://www.navigant.com/insights/library/healthcare/2013/pulse-issue-3-consolidation-or-not/. Cited 27 February 2015

Costello MM et al (2011) Hospitals for Sale. Hosp Top 89:69-73

Kuramoto RK (2014) Specialties: missing in our healthcare reform strategies? J Healthc Manag 59:89-94.

Sampaio RF, Mancini MC (2007) Estudos de revisão sistemática: um guia para síntese criteriosa da evidência científica. Rev Bras Fisioter 11:83-89

Thompson, A. (2011) The Effect of Hospital Mergers on Inpatient Prices: a case study of The New Hanover-Cape Fear Transaction. International Journal of The Economics of Business, 18(1):91-101.

Tenn S (2011) The Price Effects of Hospital Mergers: a case study of The Sutter-Summit Transaction. Int J Econ Bus 18:65-82.

Haas-Wilson D, Garmon C (2011). Hospital Mergers and Competitive Effects: two retrospective analyses. Int J Econ Bus 18:17-32.

Robinson JC (2011) Hospital Market Concentration, Pricing, And Profitability in Orthopedic Surgery and International Cardiology. Am J Management Care 17:241-248.

Harrison, T.D. Do Mergers Really Reduce Costs? Evidence From Hospitals. Economic Inquiry, v. 49, n. 4, p. 1054-1069, 2011.

Melnick GA, Shen Y, Wu VY (2011) The Increased Concentration of Health Plan Markets can Benefit Consumers Through Lower Hospital Prices. Health Aff 30:1728-1743.

Wu VY et al (2014) Decomposition of the Drivers of The U.S. Hospital Spending Growth, 2001-2009. BMC Health Services Research 14:230

Mutter RL, Romano PS, Wong HS (2011) The Effects of US Hospital Consolidations on Hospital Quality. Int J Econ Bus 18:90-126.

Spang HR, Arnould RJ, Bazzoli GJ (2009) The Effect of Non-rural Hospital Mergers and Acquisitions: an examination of cost and price outcomes. Q Rev Econ Finance 49:323-342.

Coyne JS et al (2009) Hospital Cost and Efficiency: do hospital size and ownership type really matter? J Healthc Manag 54:163-174.

Granderson G (2011) The Impacts of Hospital Alliance Membership, Alliance Size, And Repealing Certificate of Need, Regulation, on The Cost Efficiency of Non-Profit Hospitals. Manag Dec Econ 32:159-173.

Ferrier GD et al (2013) The Focus Efficiency of U.S. Hospitals. Atl Econ J 41:241-263.

Published

2018-01-05

How to Cite

Sergio A, M., M. Eliana R, and L. C. de S. “Research Methodologies in Studies on Concentration of American Hospitals”. International Journal of Advances in Management and Economics, Jan. 2018, https://managementjournal.info/index.php/IJAME/article/view/60.