DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Pediatrics
Posição atual:
> This Story

Início de uma sessão ou Registo to rate this News Story
Forward Printable StoryPrint Comment




Business Affairs Homepage

Installing and removing imaging equipment is no small task Expert insights on how project management is evolving

Canon, Toshiba each hit with $2.5 million fine over acquisition deal Deal violated premerger notification and waiting period requirements

Ohio radiology services president indicted in Medicare scam Charged for services never provided and received nearly $2 million

GE likely to hold onto NY digital X-ray detector manufacturing plant — for now New York State facility employs 125 workers

Half of radiologists have net worth of $2 million or more New survey analyzed responses from over 20,000 physicians in over 30 specialties

Getting ahead of the digital health avalanche How can a health system know which innovative tools are worth its time?

Varian to acquire Cancer Treatment Services International for $283 million Enables production of multidisciplinary solutions

FBI opens probe into alleged kickbacks by healthcare OEMs in Brazil Accused of making bribes to sell medical equipment

icometrix raises $18 million in funding Will help with deployment of icobrain software in Europe

Q&A with Michael Darling, VP Supply Chain, St. Luke’s Health System Discussing the clinical integration of supply chain

A new study says consolidation activities
like mergers do not improve quality
of care and may decrease
patient satisfaction

Mergers do nothing for quality of care, lower patient satisfaction, says study

por John R. Fischer , Staff Reporter
Providers and physician groups merge for a variety of reasons, from conserving costs to combining specialties, all undertaken with the assumption that it will improve patient care.

But do mergers actually benefit patients? A new study has found no improvement or decline in the quality of care – and actual decreases in patient satisfaction – provided by entities that combine with one another.

Story Continues Below Advertisement

Servicing GE Nuclear Medicine equipment with OEM trained engineers

We offer full service contracts, PM contracts, rapid response, time and material,camera relocation. Nuclear medicine equipment service provider since 1975. Click or call now for more information 800 96 NUMED

“Increased quality is used as an argument for integration with the expectation that it will decrease fragmentation and improve coordination of care. Unfortunately, we do not see evidence of this in our results,” co-author Marah Short, associate director of the Center for Health and Biosciences at Rice University's Baker Institute for Public Policy, told HCB News. “Across the 29 measures in our study, this type of integration is neither improving nor harming quality, overall.”

Evaluating data from the Centers for Medicare and Medicaid Services’ Hospital Compare database, Short and another co-author, Vivian Ho, the James A. Baker III Institute Chair in Health Economics and director of the center, used 29 data points and assessed 16 process of care to determine if increases in hospital market concentration or vertical integration between hospitals and physicians influence patient outcomes. Among these points were readmission rates; process of care measurements for how well a hospital provides care; and patient satisfaction scores.

Initially hypothesizing that better coordination among a primary care doctors, specialists and admitting and attending hospital physicians led to greater patient care, the two were surprised to find that the onset of vertical integration neither improved nor harmed quality of care.

“For the 16 processes of care examined, this could be, in part, due to the fact that these treatment standards are so widely accepted,” said Short. “Therefore, regardless of integration level, physicians want the best outcomes for patients and may adhere to common processes with or without hospital oversight.”

They also linked increased market concentration to lower levels of quality for patient satisfaction, chalking the matter up to less incentive among clinicians to keep patients happy, due to reductions in fear of or pressure from less competition.

Such a fact, they assert, may eventually negatively impact the quality of care provided to patients, but that further examination of patient experience is necessary.

“Further research is needed to determine how well better patient experience correlates with higher clinical quality. We have found that increased market concentration, which lowers competition, results in lower patient satisfaction," said Short. "And given the nature of these measures, there are those which may arguably directly affect quality of care, such as explaining medications or communicating well with patients. And if patient satisfaction does not correlate with higher clinical quality, better measures need to be developed and made available in terms that the average consumer can understand and utilize.”

The study was limited by the exclusion of certain outcomes, such as mortality and morbidity, as measures of quality. Patient satisfaction was assessed from surveys filled out by patients at the end of their hospital stay.

The findings were published in the journal, Medical Care Research and Review.

Business Affairs Homepage


Rey Barry


March 01, 2019 10:21

It's stunning to read a health merger story whose writer is unaware that increasing profit and cutting cost is behind mergers. Improving care is a very rare actual intent; increasing patient satisfaction is never one. The writer seems to base his understanding of motivation on media press releases. Beyond his apparent attention, newspaper financial pages and SEC filings open the window to the real reasons behind mergers and acquisitions. As always under capitalism, follow the money.

Log inor Register

to rate and post a comment

You Must Be Logged In To Post A Comment

Aumente a Sua Perceção da Marca
Leilões + Vendas Privadas
O mais melhor preço
Comprar Equipamento/Peças
O preço o mais baixo
Notícia diária
A notícia a mais atrasada
Browse tudo
DOTmed Usuários
Ética no DOTmed
Veja o nosso
Programa das éticas
O ouro parte o programa do vendedor
Receba PH
Programa do negociante do serviço do ouro
Receba RFP/PS
Fornecedores de Healthcare
Veja tudo
Ferramentas de HCP
Um trabalho
Parts Hunter +EasyPay
Comece as peças
Recently Certified
Vista recentemente
Usuários certificados
Recently Rated
Vista recentemente
Usuários certificados
Central Rental
Equipamento do aluguel
Para menos
Vender Equipamentos/Peças
A maioria de dinheiro
Service Technicians Forum
Ajuda do achado
E conselho
Simples RFP
Comece o equipamento
Mostra de comércio virtual
Serviço do achado
Para o equipamento
O acesso e o uso deste local são sujeitos aos termos e às condições do nosso OBSERVAÇÃO LEGAL & OBSERVAÇÃO DA PRIVACIDADE
Propriedade de e proprietário DOTmeda .com, Inc. Copyright ©2001-2019, Inc.