Literature DB >> 33767533

Decreased costs with maintained patient satisfaction after total joint arthroplasty in a physician-owned hospital.

Dorian S Wood1, Shawna L Watson1, Tara M Eckel2, Paul C Peters2,3, Kurt J Kitziger2,3, Brian P Gladnick2,3.   

Abstract

OBJECTIVE: Comparing total joint arthroplasty (TJA) costs and patient-reported outcomes between a physician-owned hospital (POH) and a non-POH.
METHODS: Costs for each 90-day TJA episode at both facilities were determined, and patients were asked to complete a patient satisfaction questionnaire.
RESULTS: Average TJA episode cost was $19,039 at the POH, compared to $21,302 at the non-POH, a difference of $2,263 (p = 0.03), largely driven by decreased skilled nursing facility utilization in the POH group. There were no differences between groups for patient satisfaction.
CONCLUSION: TJA can be performed at reduced cost with comparable patient satisfaction at POHs, compared to non-POH facilities.
© 2021 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Cost; Physician-owned hospital; Satisfaction; Total joint arthroplasty

Year:  2021        PMID: 33767533      PMCID: PMC7973141          DOI: 10.1016/j.jor.2021.03.002

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  10 in total

1.  A comparison of total hip and knee replacement in specialty and general hospitals.

Authors:  Peter Cram; Mary S Vaughan-Sarrazin; Brian Wolf; Jeffrey N Katz; Gary E Rosenthal
Journal:  J Bone Joint Surg Am       Date:  2007-08       Impact factor: 5.284

2.  Intolerable risk, irreparable harm: the legacy of physician-owned specialty hospitals.

Authors:  Charles N Kahn
Journal:  Health Aff (Millwood)       Date:  2006 Jan-Feb       Impact factor: 6.301

3.  Specialty and full-service hospitals: a comparative cost analysis.

Authors:  Kathleen Carey; James F Burgess; Gary J Young
Journal:  Health Serv Res       Date:  2008-07-25       Impact factor: 3.402

4.  Evaluation of costs and outcomes of physician-owned hospitals across common surgical procedures.

Authors:  Junu Bae; J Madison Hyer; Anghela Z Paredes; Ayesha Farooq; Daniel R Rice; Susan White; Diamantis I Tsilimigras; Aslam Ejaz; Timothy M Pawlik
Journal:  Am J Surg       Date:  2019-10-08       Impact factor: 2.565

5.  Hospital competition and financial performance: the effects of ambulatory surgery centers.

Authors:  Kathleen Carey; James F Burgess; Gary J Young
Journal:  Health Econ       Date:  2011-05       Impact factor: 3.046

6.  Reconsidering the Affordable Care Act's Restrictions on Physician-Owned Hospitals: Analysis of CMS Data on Total Hip and Knee Arthroplasty.

Authors:  P Maxwell Courtney; Brian Darrith; Daniel D Bohl; Nicholas B Frisch; Craig J Della Valle
Journal:  J Bone Joint Surg Am       Date:  2017-11-15       Impact factor: 5.284

Review 7.  The Affordable Care Act's Effects On The Formation, Expansion, And Operation Of Physician-Owned Hospitals.

Authors:  Elizabeth Plummer; William Wempe
Journal:  Health Aff (Millwood)       Date:  2016-08-01       Impact factor: 6.301

8.  A Novel, Synergistic Model in Total Joint Arthroplasty: A Report of 2 Specialty Hospitals With Joint Ownership Between Physicians and Healthcare Systems.

Authors:  Alexander J Rondon; Yale A Fillingham; David Janiec; Chris Vannello; Matthew S Austin; P Maxwell Courtney
Journal:  J Arthroplasty       Date:  2019-04-23       Impact factor: 4.757

9.  Physician-ownership of ambulatory surgery centers linked to higher volume of surgeries.

Authors:  John M Hollingsworth; Zaojun Ye; Seth A Strope; Sarah L Krein; Ann T Hollenbeck; Brent K Hollenbeck
Journal:  Health Aff (Millwood)       Date:  2010-04       Impact factor: 6.301

10.  Are the Affordable Care Act Restrictions Warranted? A Contemporary Statewide Analysis of Physician-Owned Hospitals.

Authors:  Daniel K Lundgren; Paul M Courtney; Joshua A Lopez; Atul F Kamath
Journal:  J Arthroplasty       Date:  2016-03-03       Impact factor: 4.757

  10 in total

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