Health Affairs

Health Affairs, 28, no. 1 (2009): 103-112 doi: 10.1377/hlthaff.28.1.103 © 2009 by Project HOPE	New Online   CBO Scoring Reform   Rising Insurance Rates   Health Care Investment   Consumers on Reform   Sen. Harkin on Child Obesity   Sen. Enzi: Fighting Obesity

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Reorganizing Care

Inpatient Care Intensity And Patients’ Ratings Of Their Hospital Experiences

John E. Wennberg, Kristen Bronner, Jonathan S. Skinner, Elliott S. Fisher and David C. Goodman

The intensity of hospital care provided to chronically ill Medicare patients varies greatly among regions, independent of illness. We examined the associations among hospital care intensity, the technical quality of hospital care, and patients’ ratings of their hospital experiences. Greater inpatient care intensity was associated with lower quality scores and lower patient ratings; lower quality scores were associated with lower patient ratings. The common thread linking greater care intensity with lower quality and less favorable patient experiences may be poorly coordinated care.

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