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Understanding the Safety NetInpatient Quality of Care Varies Based on How One Defines Safety-Net HospitalsHealth Research & Educational Trust, Chicago, Illinois, mmchugh{at}aha.org
Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Feinberg School of Medicine, Northwestern University, Chicago, Illinois A challenge to investigating quality of care at safety-net hospitals is the absence of a standard method for identifying these hospitals. The authors identified three different, commonly used approaches for classifying hospitals as safety-net providers. Analyzing national data on hospital demographics and quality of care, they found little overlap among these three sets of hospitals. Under two definitions, safety-net providers clearly underperformed on quality compared with non-safety-net providers; under a third definition, results were mixed. How one defines safety-net providers can affect health services research outcomes and policy recommendations.
Key Words: quality • safety net
This version was published on October
1, 2009 Medical Care Research and Review, Vol. 66, No. 5,
590-605 (2009) |
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