Factors associated with high-quality/low-cost hospital performance

H. Joanna Jiang, Bernard Friedman, James W. Begun

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


This study explores organizational and market characteristics associated with superior hospital performance in both quality and cost of care, using the Healthcare Cost and Utilization Project State Inpatient Databases for ten states in 1997 and 2001. After controlling for a variety of patient factors, we found that for-profit ownership, hospital competition, and the number of HMOs were positively associated with the likelihood of attaining high-quality/low-cost performance. Furthermore, we examined interactions between organizational and market characteristics and identified a number of significant interactions. For example, the positive likelihood associated with for-profit hospitals diminished in markets with high HMO penetration.

Original languageEnglish (US)
Pages (from-to)39-52
Number of pages14
JournalJournal of Health Care Finance
Issue number3
StatePublished - Dec 1 2006


  • Cost
  • Hospital competition
  • Managed care
  • Quality


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