Health Affairs, 25, no. 1 (2006): 106-118 doi: 10.1377/hlthaff.25.1.106 © 2006 by Project HOPE	New Online   New Issue: China & India   Obesity In China   Pay Cuts For Medicare Docs   Access To Care Woes

This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (11) Citing Articles via Google Scholar Google Scholar Articles by Greenwald, L. Articles by Devers, K. Search for Related Content PubMed PubMed Citation Articles by Greenwald, L. Articles by Devers, K. Related Collections Business Of Health Consumer Issues Hospitals Medicare Physicians Health Spending

Specialty Hospitals

Specialty Versus Community Hospitals: Referrals, Quality, And Community Benefits

In this paper we compare physician referral patterns, quality, patient satisfaction, and community benefits of physician-owned specialty versus peer competitor hospitals. Our results are based on evidence gathered from site visits to six markets, 2003 Medicare claims, patient focus groups, and Internal Revenue Service data. Although physician-owners are more likely than others to refer to their own facilities and treat a healthier population, there are rationales for these patterns aside from motives for profit. Specialty hospitals provide generally high-quality care to satisfied patients. Uncompensated care plus specialty hospitals’ taxes represent a greater burden, in percentage terms, than community benefits provided by nonprofit providers.

                      What's this?

This article has been cited by other articles:

				J. R. Gabel, C. Fahlman, R. Kang, G. Wozniak, P. Kletke, and J. W. Hay Where Do I Send Thee? Does Physician-Ownership Affect Referral Patterns To Ambulatory Surgery Centers? Health Aff., May 1, 2008; 27(3): w165 - w174. [Abstract] [Full Text] [PDF]

				J. M. Mitchell Utilization Changes Following Market Entry by Physician-owned Specialty Hospitals Med Care Res Rev, August 1, 2007; 64(4): 395 - 415. [Abstract] [PDF]

				P. Cram, M. S. Vaughan-Sarrazin, B. Wolf, J. N. Katz, and G. E. Rosenthal A Comparison of Total Hip and Knee Replacement in Specialty and General Hospitals J. Bone Joint Surg. Am., August 1, 2007; 89(8): 1675 - 1684. [Abstract] [Full Text] [PDF]

				P. Cram and G. E. Rosenthal Physician-Owned Specialty Hospitals and Coronary Revascularization Utilization: Too Much of a Good Thing? JAMA, March 7, 2007; 297(9): 998 - 999. [Full Text] [PDF]

				J. K. Iglehart The new era of medical imaging--progress and pitfalls. N. Engl. J. Med., June 29, 2006; 354(26): 2822 - 2828. [Full Text] [PDF]