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Hospital indigent care expenditures

B A Brotman1

  • 1Kennesaw State College, Marietta, Georgia, USA.

Journal of Health Care Finance
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

Georgia hospitals provided financial data in 1992. Not-for-profit and for-profit hospitals offered similar charity care levels, and uninsured patients utilized primary care, possibly due to free public health services.

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Area of Science:

  • Health Services Research
  • Healthcare Finance
  • Public Health Policy

Background:

  • Financial data from 144 general hospitals in Georgia for 1992 were analyzed.
  • Previous assumptions about charity care funding by hospital type were examined.
  • Patient utilization of emergency versus primary care services for uninsured individuals was investigated.

Purpose of the Study:

  • To compare charity care provision between not-for-profit and for-profit hospitals in Georgia.
  • To assess whether uninsured patients in Georgia substitute emergency department services for primary care.
  • To explore factors influencing patient behavior regarding primary care access.

Main Methods:

  • Analysis of financial information from the Georgia State Health Planning Agency.

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  • Comparative analysis of charity care expenditures across different hospital ownership types.
  • Examination of patient service utilization patterns for uninsured individuals.

    • Main Results:

    • No significant difference was found in the extent of charity care funding between not-for-profit and for-profit hospitals.
    • Uninsured patients in Georgia do not appear to favor emergency department services over primary care physicians.
    • The availability of free primary care services at public health departments may influence patient choices.

    Conclusions:

    • Hospital ownership type does not appear to correlate with higher levels of charity care provision.
    • Patient behavior regarding healthcare seeking for uninsured individuals in Georgia is not characterized by a widespread use of emergency departments instead of primary care.
    • Public health initiatives offering free primary care may play a role in shaping healthcare access patterns for vulnerable populations.