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Doing well by doing good: linking access with quality.

Victor Chang1, Paul C Kuo1, Philip Y Wai1

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Summary
This summary is machine-generated.

Prioritizing altruism in nonprofit hospitals, measured by total discounted revenue to total revenue (TDR/TR), correlates with higher quality care. This approach enhances surgical care quality without negatively impacting patient mortality or readmission rates.

Keywords:
AccessAltruismOutcomesQualitySurgery

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Medical Economics

Background:

  • The study investigates the relationship between altruism and healthcare quality in medical centers.
  • A hypothesis posits that prioritizing altruism can lead to superior quality care delivery.

Purpose of the Study:

  • To examine if altruistic care, proxied by total discounted revenue/total revenue (TDR/TR), is associated with higher quality outcomes in nonprofit hospitals.
  • To determine if prioritizing altruistic care impacts patient mortality and readmission rates.

Main Methods:

  • Data sourced from California's OSHPD, Medicare Hospital Compare, and the Joint Commission.
  • Outcomes analyzed using summary statistics, regression analysis, and quality indices.
  • Total discounted revenue/total revenue (TDR/TR) used as a proxy for altruistic care.

Main Results:

  • In nonprofit hospitals, TDR/TR positively correlated with five quality indices, including pneumonia and heart failure care.
  • Higher quality surgical processes were associated with larger hospital size and teaching status.
  • Positive TDR/TR did not adversely affect mortality or readmission rates.

Conclusions:

  • TDR/TR is a predictor of quality in nonprofit hospitals, without increasing mortality and readmission.
  • Altruistic motivation may be linked to the delivery of higher quality surgical care.