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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Pauline Vaillancourt Rosenau, PhD and Stephen H. Linder, PhD. Department of Management and Policy Sciences, School of Public Health - University of Texas - Health Science Center, 1200 Herman Pressler, P.O. Box 20186, Houston, TX 77225
The goal of this paper is to determine, by way of an exhaustive, systematic, and comprehensive review and summary of all scientific published studies, whether or not there are any performance differences between private for-profit and private nonprofit psychiatric inpatient care providers. A second objective is to compare differences between these inpatient psychiatric care providers with differences that have been found to exist between other types of healthcare providers. The last objective is to discover the proportion of all research comparing for-profit and nonprofit performance that is devoted to psychiatric inpatient services compared to all other health services providers. Computerized bibliographic searches of relevant databases were undertaken. All published, peer-reviewed studies that compared the performance of for-profit and nonprofit health services providers on access, quality, cost/efficiency, and/or amount of charity care, based on quantitative data collected after 1980, were retained. Findings: Since 1980, 17 articles made 23 comparisons of the performance of for-profit and nonprofit psychiatric inpatient mental health care providers. Almost all studies found that the nonprofit providers performed as well or better than their for-profit counterpart on quality, access, cost, and the amount of charity care provided. The performance differences between for-profit and nonprofit psychiatric inpatient facilities was greater than that observed across the other provider types (N=151). About 12% of studies comparing for profit and nonprofit provider performance investigated psychiatric inpatient care. Conclusion: To date the evidence suggests that overall, nonprofit inpatient psychiatric providers perform better than their for-profit equivalents on the several performance criteria studied.
Learning Objectives:
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: no products discussed
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Handout (.doc format, 300.5 kb)