Strategy, structure, and patient quality outcomes in ambulatory surgery centers (1997-2004)

Askar Chukmaitov, Kelly J. Devers, David W. Harless, Nir Menachemi, Robert G. Brooks

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The purpose of this study was to examine potential associations among ambulatory surgery centers' (ASCs) organizational strategy, structure, and quality performance. The authors obtained several large-scale, all-payer claims data sets for the 1997 to 2004 period. The authors operationalized quality performance as unplanned hospitalizations at 30 days after outpatient arthroscopy and colonoscopy procedures. The authors draw on related organizational theory, behavior, and health services research literatures to develop their conceptual framework and hypotheses and fitted fixed and random effects Poisson regression models with the count of unplanned hospitalizations. Consistent with the key hypotheses formulated, the findings suggest that higher levels of specialization and the volume of procedures may be associated with a decrease in unplanned hospitalizations at ASCs.

Original languageEnglish (US)
Pages (from-to)202-225
Number of pages24
JournalMedical Care Research and Review
Volume68
Issue number2
DOIs
StatePublished - Apr 1 2011

Fingerprint

Ambulatory Surgical Procedures
Hospitalization
Health Services Research
Arthroscopy
Colonoscopy
Outpatients

Keywords

  • ambulatory surgery center (ASC)
  • outpatient procedures
  • quality of care
  • specialization
  • volume

ASJC Scopus subject areas

  • Health Policy

Cite this

Strategy, structure, and patient quality outcomes in ambulatory surgery centers (1997-2004). / Chukmaitov, Askar; Devers, Kelly J.; Harless, David W.; Menachemi, Nir; Brooks, Robert G.

In: Medical Care Research and Review, Vol. 68, No. 2, 01.04.2011, p. 202-225.

Research output: Contribution to journalArticle

Chukmaitov, Askar ; Devers, Kelly J. ; Harless, David W. ; Menachemi, Nir ; Brooks, Robert G. / Strategy, structure, and patient quality outcomes in ambulatory surgery centers (1997-2004). In: Medical Care Research and Review. 2011 ; Vol. 68, No. 2. pp. 202-225.
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