Safety-net hospitals lag behind
Hospitalist Leadership Connection, May 20, 2008
Safety-net hospitals that typically treat urban and underserved patients offer lower quality care than non-safety net hospitals, according to a study released by The Journal of the American Medical Association (JAMA) this month. The study evaluated 3,665 hospitals over three years and found that hospitals with higher numbers of Medicaid patients performed worse than those with less Medicaid patients. The study may cause concern that safety-net hospitals will suffer even more based on a pay-for-performance model, and non-safety net hospitals will gain bonuses, in essence, creating a bigger financial inequality between the two types of facilities.
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