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. 2009 Jan-Feb;28(1):103-12.
doi: 10.1377/hlthaff.28.1.103.

Inpatient care intensity and patients' ratings of their hospital experiences

John E Wennberg  1 , Kristen Bronner, Jonathan S Skinner, Elliott S Fisher, David C Goodman
Affiliations

Inpatient care intensity and patients' ratings of their hospital experiences

John E Wennberg et al. Health Aff (Millwood). 2009 Jan-Feb.

Abstract

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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References

    1. Wennberg JE, et al. Tracking the Care of Patients with Severe Chronic Illness: The Dartmouth Atlas of Health Care. Lebanon, N.H: Dartmouth Institute for Health Policy and Clinical Practice; 2008. 2008. - PubMed
    1. Baicker K, Chandra A. Medicare Spending, the Physician Workforce, and Beneficiaries’ Quality of Care. Health Affairs. 2004;23:w184–w197. doi: 10.1377/hlthaff.w4.184. published online 7 April 2004. - DOI - PubMed
    1. Wennberg JE, et al. Evaluating the Efficiency of California Providers in Caring for Patients with Chronic Illnesses. Health Affairs. 2005;24:w526–w543. doi: 10.1377/hlthaff.w5.526. published online 16 November 2005. - DOI - PubMed
    2. Baker LC, Fisher ES, Wennberg JE. Variations in Hospital Resource Use for Medicare and Privately Insured Populations in California. Health Affairs. 2008;27(2):w123–w134. doi: 10.1377/hlthaff.27.2.w123. published online 12 February 2008. - DOI - PubMed
    1. See U.S. Department of Health and Human Services. Hospital Compare—A Quality Tool for Adults, Including People with Medicare. [accessed 22 October 2008]. http://www.hospitalcompare.hhs.gov.

    1. For the methodology, see ibid.

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