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Do Market-Level Hospital and Physician Resources Affect Small Area Variation in Hospital Use?

dc.contributor.authorAlexander, Jeffrey A,en_US
dc.contributor.authorLee, Shoou-Yih Danielen_US
dc.contributor.authorGriffith, Johnen_US
dc.contributor.authorMick, Stephen S.en_US
dc.contributor.authorLin, Xihongen_US
dc.contributor.authorBanaszak-Holl, Janeen_US
dc.date.accessioned2010-04-14T13:39:39Z
dc.date.available2010-04-14T13:39:39Z
dc.date.issued1999en_US
dc.identifier.citationAlexander, Jeffrey; Lee, Shoou-Yih; Griffith, John; Mick, Stephen; Lin, Xihong; Banaszak-Holl, Jane (1999). "Do Market-Level Hospital and Physician Resources Affect Small Area Variation in Hospital Use?." Medical Care Research and Review 56(1): 94-117. <http://hdl.handle.net/2027.42/68450>en_US
dc.identifier.issn1077-5587en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/68450
dc.description.abstractThis study evaluates the effect of market-level physician and hospital resources on hospital use. It is anticipated that higher hospital discharges are associated with (1) greater hospital and physician resources, (2) more differentiated hospital and physician resources, and (3) higher levels of teaching intensity in the community. Data on 14 modified diagnostically related groups (DRGs) and 58 hospital market communities in Michigan are analyzed during a 7-year period. Findings indicate that physician resources, hospital resources, differentiation of hospital and physician resources, and teaching intensity contribute only modestly to discharges, holding constant the socioeconomic attributes of the community and adjusting for the variation in hospital use over time. With the inclusion of hospital and physician resource variables, socioeconomic factors remain important determinants of the variation across market communities. Findings are discussed in terms of their implications for health care organizations, managed care programs, and cost control efforts in general.en_US
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dc.publisherSage Publicationsen_US
dc.titleDo Market-Level Hospital and Physician Resources Affect Small Area Variation in Hospital Use?en_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumUniversity of Michigan School of Public Healthen_US
dc.contributor.affiliationumUniversity of Michigan School of Public Healthen_US
dc.contributor.affiliationumUniversity of Michigan School of Public Healthen_US
dc.contributor.affiliationumUniversity of Michigan School of Public Healthen_US
dc.contributor.affiliationumUniversity of Michigan School of Public Healthen_US
dc.contributor.affiliationotherUniversity of Illinois-Chicagoen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/68450/2/6.pdf
dc.identifier.doi10.1177/107755879905600106en_US
dc.identifier.sourceMedical Care Research and Reviewen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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