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Quality of care, asymmetric information, and patient outcomes in U.S. for-profit and not-for-profit renal dialysis facilities

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dc.contributor.author Irvin, Renee A en_US
dc.date.accessioned 2009-10-06T17:49:11Z
dc.date.available 2009-10-06T17:49:11Z
dc.date.issued 1998 en_US
dc.identifier.other b4267878x en_US
dc.identifier.other 41519081 en_US
dc.identifier.other Thesis 47538 en_US
dc.identifier.uri http://hdl.handle.net/1773/7489
dc.description Thesis (Ph. D.)--University of Washington, 1998 en_US
dc.description.abstract Economic theory suggests that investor-owned firms exhibit superior performance compared to their not-for-profit competitors due to efficiency gains realized from profit maximization incentives. Others argue that ownership type matters less than the incentives provided by the market in which the facilities operate. This dissertation examines the role of quality in comparative studies of sector performance in the health care industry. Quality variation is then analyzed with a cross-sectional study of almost 200,000 patients receiving renal dialysis treatments at over 2000 dialysis facilities nationwide. Multivariate regression analysis and propensity score analysis revealed higher patient mortality rates among patients treated at for-profit facilities, after adjusting for patient case-mix and market characteristics. Evidence of quality variation across ownership types suggests that researchers studying comparative efficiency of for-profit and not-for-profit health care firms must control for differing patient outcomes. Further testing was performed on a data sub-sample that included variables serving as proxies for patient knowledge. Dialysis facilities were found to treat high-knowledge patients differently than low-knowledge patients, but for-profit firms were not always found to exploit asymmetries of information more than their not-for-profit counterparts. en_US
dc.format.extent viii, 168 p. en_US
dc.language.iso en_US en_US
dc.rights.uri en_US
dc.subject.other Theses--Economics en_US
dc.title Quality of care, asymmetric information, and patient outcomes in U.S. for-profit and not-for-profit renal dialysis facilities en_US
dc.type Thesis en_US


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