Predictors of Chain Acquisition among Independent Dialysis Facilities
dc.contributor.author | Pozniak, Alyssa S. | en_US |
dc.contributor.author | Hirth, Richard A. | en_US |
dc.contributor.author | Banaszak-Holl, Jane | en_US |
dc.contributor.author | Wheeler, John R. C. | en_US |
dc.date.accessioned | 2011-01-31T17:27:22Z | |
dc.date.available | 2011-06-09T15:09:41Z | en_US |
dc.date.issued | 2010-04 | en_US |
dc.identifier.citation | Pozniak, Alyssa S.; Hirth, Richard A.; Banaszak-Holl, Jane; Wheeler, John R. C.; (2010). "Predictors of Chain Acquisition among Independent Dialysis Facilities." Health Services Research 45(2): 476-496. <http://hdl.handle.net/2027.42/79093> | en_US |
dc.identifier.issn | 0017-9124 | en_US |
dc.identifier.issn | 1475-6773 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/79093 | |
dc.description.abstract | To determine the predictors of chain acquisition among independent dialysis providers.Retrospective facility-level data combined from CMS Cost Reports, Medical Evidence Forms, Annual Facility Surveys, and claims for 1996–2003.Independent dialysis facilities' probability of acquisition by a dialysis chain (overall and by chain size) was estimated using a discrete time hazard rate model, controlling for financial and clinical performance, practice patterns, market factors, and other facility characteristics.The sample includes all U.S. freestanding dialysis facilities that report not being chain affiliated for at least 1 year between 1997 and 2003.Above-average costs and better quality outcomes are significant determinants of dialysis chain acquisition. Facilities in larger markets were more likely to be acquired by a chain. Furthermore, small dialysis chains have different acquisition strategies than large chains.Dialysis chains appear to employ a mix of turn-around and cream-skimming strategies. Poor financial health is a predictor of chain acquisition as in other health care sectors, but the increased likelihood of chain acquisition among higher quality facilities is unique to the dialysis industry. Significant differences among predictors of acquisition by small and large chains reinforce the importance of using a richer classification for chain status. | en_US |
dc.format.extent | 180282 bytes | |
dc.format.extent | 3106 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.subject.other | Chain Acquisition | en_US |
dc.subject.other | End-stage Renal Disease | en_US |
dc.subject.other | Dialysis | en_US |
dc.subject.other | Medicare | en_US |
dc.title | Predictors of Chain Acquisition among Independent Dialysis Facilities | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI | en_US |
dc.contributor.affiliationother | Abt Associates Inc., 55 Wheeler Street, Cambridge, MA 02138 | en_US |
dc.identifier.pmid | 20148985 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/79093/1/j.1475-6773.2010.01081.x.pdf | |
dc.identifier.doi | 10.1111/j.1475-6773.2010.01081.x | en_US |
dc.identifier.source | Health Services Research | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.