+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Hospital characteristics and patient populations served by physician owned and non physician owned orthopedic specialty hospitals



Hospital characteristics and patient populations served by physician owned and non physician owned orthopedic specialty hospitals



Bmc Health Services Research 7: 155



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 orthopedic hospitals and non physician owned specialty orthopedic hospitals differ with respect to hospital characteristics and patient populations served. We conducted a descriptive study using Medicare data of beneficiaries who underwent total hip replacement (THR) (N = 10,478) and total knee replacement (TKR) (N = 15,312) in 29 physician owned and 8 non physician owned specialty orthopedic hospitals during 1999-2003. We compared hospital characteristics of physician owned and non physician owned specialty hospitals including procedural volumes of major joint replacements (THR and TKR), hospital teaching status, and for profit status. We then compared demographics and prevalence of common comorbid conditions for patients treated in physician owned and non physician owned specialty hospitals. Finally, we examined whether the socio-demographic characteristics of the neighborhoods where physician owned and non physician owned specialty hospitals differed, as measured by zip code level data. Physician owned specialty hospitals performed fewer major joint replacements on Medicare beneficiaries in 2003 than non physician owed specialty hospitals (64 vs. 678, P < .001), were less likely to be affiliated with a medical school (6% vs. 43%, P = .05), and were more likely to be for profit (94% vs. 28%, P = .001). Patients who underwent major joint replacement in physician owned specialty hospitals were less likely to be black than patients in non physician owned specialty hospitals (2.5% vs. 3.1% for THR, P = .15; 1.8% vs. 6.3% for TKR, P < .001), yet physician owned specialty hospitals were located in neighborhoods with a higher proportion of black residents (8.2% vs. 6.7%, P = .76). Patients in physician owned hospitals had lower rates of most common comorbid conditions including heart failure and obesity (P < .05 for both). Physician owned specialty orthopedic hospitals differ significantly from non physician owned specialty orthopedic hospitals and may warrant the additional scrutiny policy makers have proposed.

(PDF emailed within 0-6 h: $19.90)

Accession: 053581227

Download citation: RISBibTeXText

PMID: 17894870

DOI: 10.1186/1472-6963-7-155


Related references

Total expenditures per patient in hospital-owned and physician-owned physician organizations in California. JAMA 312(16): 1663-1669, 2014

Comparing the Treatment Algorithm and Complications for Patients Undergoing an Anterior Cervical Discectomy and Fusion at a Physician-Owned Specialty Hospital and a University-Owned Tertiary Care Hospital. American Journal of Medical Quality 32(2): 208-214, 2016

Understanding the physician-owned specialty hospital phenomenon: the confluence of DRG payment methodology and physician self-referral laws. Journal of Health Law 38(4): 673-693, 2006

Physician-owned specialty hospitals in the USA. Lancet 366(9481): 193-194, 2005

The emergence of physician-owned specialty hospitals. New England Journal of Medicine 352(1): 78-84, 2005

The misdirected debate over physician-owned specialty hospitals. Health Affairs 28(1): 299, 2009

The stark reality for physician-owned specialty hospitals. Health Care Law Monthly 2011(11): 2-11, 2011

Much ado about nothing? The financial impact of physician-owned specialty hospitals. International Journal of Health Economics and Management 16(2): 103-131, 2018

Physician-owned specialty hospitals: friend, foe-or (system) failure?. Healthcare Financial Management 63(1): 26-27, 2009

Should physician-owned single-specialty hospitals continue to exist?. Journal of Medical Practice Management 25(4): 207-209, 2010

Utilization changes following market entry by physician-owned specialty hospitals. Medical Care Research and Review 64(4): 395-415, 2007

The impact of physician-owned specialty orthopaedic hospitals on surgical volume and case complexity in competing hospitals. Clinical Orthopaedics and Related Research 467(10): 2577-2586, 2009

Federation petitions HHS to prohibit self-referral to physician-owned "specialty hospitals". Hospital Outlook 8(1): 6-6, 2005

Physician-owned specialty hospitals and coronary revascularization utilization: too much of a good thing?. JAMA 297(9): 998-999, 2007

Intolerable risk, irreparable harm: the legacy of physician-owned specialty hospitals. Health Affairs 25(1): 130-133, 2006