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Hospital conversion trends

J Needleman1, D J Chollet, J Lamphere

  • 1Harvard School of Public Health, USA.

Health Affairs (Project Hope)
|March 1, 1997
PubMed
Summary
This summary is machine-generated.

Hospital conversions averaged 1% annually during the 1980s and 1990s, with significant activity concentrated in four states. Conversions of public and for-profit hospitals present complex policy challenges.

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Area of Science:

  • Health Services Research
  • Health Policy Analysis

Background:

  • Hospital conversions were a notable trend during the 1980s and 1990s.
  • Understanding the scope and patterns of these conversions is crucial for policy development.

Purpose of the Study:

  • To examine the extent and geographic distribution of hospital conversions in the US during the 1980s and 1990s.
  • To identify key issues associated with different types of hospital conversions.

Main Methods:

  • DataWatch analysis of hospital conversion trends.
  • Examination of geographic patterns and state-level activity.

Main Results:

  • An average of 1% of hospitals converted annually during the study period.
  • Significant concentrations of hospital conversion activity were observed in California, Florida, Georgia, and Texas.

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  • Conversions involving public and for-profit hospitals, in addition to not-for-profit to for-profit conversions, raise policy concerns.
  • Conclusions:

    • Hospital conversions were widespread but geographically concentrated during the 1980s and 1990s.
    • The conversion of public and for-profit hospitals necessitates careful policy consideration due to their unique implications.