Inpatient Mortality in Emergency Care: Is Competition Always Good?

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dc.contributor.advisorChen, Jieen_US
dc.contributor.authorKwok, Veronicaen_US
dc.contributor.departmentHealth Services Administrationen_US
dc.contributor.publisherDigital Repository at the University of Marylanden_US
dc.contributor.publisherUniversity of Maryland (College Park, Md.)en_US
dc.date.accessioned2015-02-05T06:43:47Z
dc.date.available2015-02-05T06:43:47Z
dc.date.issued2014en_US
dc.description.abstractThe objective of this study was to measure the association between regional competition and emergency care outcomes. Competition was measured using the Herfindahl-Hirschman Index for three hospital referral regions in Maryland. Preliminary regression analysis using a logistic binary model showed that higher competition was associated with lower odds of mortality. Further investigation suggested that competition could be endogenous. Further regression analysis using an instrumental variable of hospital system affiliation and two-stage least squares estimation showed that lower competition was associated with lower odds of mortality for sepsis and trauma (OR = 0.7, p-value <0.001, OR = 0.5, p-value <0.001, respectively). Future investigation perhaps on a national level could help identify a stronger, more uniform association between competition and emergency care outcomes including large scale events, and as such provide policy guidance for quality of emergency care.en_US
dc.identifierhttps://doi.org/10.13016/M2VP6K
dc.identifier.urihttp://hdl.handle.net/1903/16123
dc.language.isoenen_US
dc.subject.pqcontrolledHealth sciencesen_US
dc.subject.pqcontrolledHealth care managementen_US
dc.subject.pquncontrolledCompetitionen_US
dc.subject.pquncontrolledEmergency careen_US
dc.subject.pquncontrolledHospital Referral Regionen_US
dc.subject.pquncontrolledHospital systemen_US
dc.subject.pquncontrolledMaryland All Payer Modelen_US
dc.subject.pquncontrolledSudden critical illnessen_US
dc.titleInpatient Mortality in Emergency Care: Is Competition Always Good?en_US
dc.typeThesisen_US

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