Public reporting and market area exit decisions by home health agencies.
Public reporting and market area exit decisions by home health agencies.
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DOI：
10.5600/mmrr.002.04.a06
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发表时间：
2012-01-01
期刊：
影响因子：
--
通讯作者：
Feldman, Roger
中科院分区：
文献类型：
--
作者：
Jung, Kyoungrae;Feldman, Roger
OBJECTIVE: To examine whether home health agencies selectively discontinue services to areas with socio-economically disadvantaged people after the introduction of Home Health Compare (HHC), a public reporting program initiated by Medicare in 2003.STUDY DESIGN /METHODS: We focused on agencies' initial responses to HHC and examined selective market-area exits by agencies between 2002 and 2004. We measured HHC effects by the percentage of quality indicators reported in public HHC data in 2003. Socio-economic status was measured by per capita income and percent college-educated at the market-area level.DATA SOURCES: 2002 and 2004 Outcome and Assessment Information Set (OASIS); 2000 US Census file; 2004 Area Resource File; and 2002 Provider of Service File.PRINCIPAL FINDINGS: WE FOUND A SMALL AND WEAK EFFECT OF PUBLIC REPORTING ON SELECTIVE EXITS: a 10-percent increase in reporting (reporting one more indicator) increased the probability of leaving an area with less-educated people by 0.3 percentage points, compared with leaving an area with high education.CONCLUSION: The small level of market-area exits under public reporting is unlikely to be practically meaningful, suggesting that HHC did not lead to a disruption in access to home health care through selective exits during the initial year of the program.
