We study the exit of hospitals from the market for inpatient services. More generous hospital reimbursement significantly reduces the probability of exit throughout the 1990s. Conditional on reimbursement levels, hospital efficiency was not a significant determinant in the early 1990s but in the midto late 1990s, less efficient hospitals were significantly more likely to exit. Throughout the pe...

in particular, provided incredibly insightful comments that greatly improved the quality of this piece. Finally, I owe a tremendous amount of gratitude to my husband, Steve, for his unassailable patience and support.

BACKGROUND: In developing countries, user fees may represent an important source of revenues for private-non-for-profit hospitals, but they may also affect access, use and equity. METHODS: This survey was conducted in ten hospitals of the Uganda Catholic Medical Bureau to assess differences in user fees policies and to propose changes that would better fit with the social concern explicitly pur...

This study integrates two competing views to examine whether medical doctors are satisfied with their jobs when they perceive hospitals as being oriented toward profit (a hedonic view) or purpose eudaimonic view). Using a sample of 127 from 70 hospitals, this tests these views. The results show that who purpose-driven likely experience job satisfaction, and pattern still holds even if also emph...

This study assesses whether California's minimum nurse staffing legislation affected the amount of uncompensated care provided by California hospitals. Using data from California's Office of Statewide Health Planning and Development, the American Hospital Association Annual Survey and InterStudy, the authors divide hospitals into quartiles based on preregulation staffing levels. Controlling for...

Although an increasing number of hospitals are reporting net losses from the Medicare prospective payment system (PPS) for inpatient care, overall hospital facility profit rates remain stable. Hospitals that reported net profits in the Medicare inpatient PPS sector in PPS 7 (1990) had smaller increases in Medicare expenses than hospitals that reported PPS losses in PPS 7. Medicare PPS inpatient...

BACKGROUND The emergence of physician owned specialty hospitals focusing on high margin procedures has generated significant controversy. Yet, it is unclear whether physician owned specialty hospitals differ significantly from non physician owned specialty hospitals and thus merit the additional scrutiny that has been proposed. Our objective was to assess whether physician owned specialty ortho...

Many salient profit incentives that health care providers face stem from government policies. We investigate hospital response to the 340B Drug Discount Program, a federal policy that substantially increases profitability of drug administration for about 45% of hospitals by entitling them to discounts of between 20% and 50% on drugs. Our primary empirical strategy is a fuzzy regression disconti...