Effects of Regulation, Competition, and Ownership on Mortality Rates among Hospital Inpatients

F. A. Connell; W. L. Roper; G. M. Hackbarth; H. S. Luft; L. B. Russell; G. Wright; S. Sieverts; E. L. Hannan; R. T. Kaufman; S. M. Shortell; E. F X Hughes

doi:10.1056/NEJM198811173192018

Effects of Regulation, Competition, and Ownership on Mortality Rates among Hospital Inpatients

F. A. Connell, W. L. Roper, G. M. Hackbarth, H. S. Luft, L. B. Russell, G. Wright, S. Sieverts, E. L. Hannan, R. T. Kaufman, S. M. Shortell, E. F X Hughes

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Research output: Contribution to journal › Letter › peer-review

4 Scopus citations

Abstract

To the Editor: The article by Shortell and Hughes (April 28 issue)* concluded that highly regulated hospital environments are associated with higher mortality rates. As defined in this study, “mortality rate” actually signified the ratio of hospital deaths to hospital admissions. It should have been stated that a high ratio can be due to either an increase in the number of deaths or a decrease in the number of admissions. Although Shortell and Hughes focused only on the possibility that a high rate is a reflection of increased deaths, it seems equally, if not more, plausible that their results may.

Original language	English (US)
Pages (from-to)	1354-1358
Number of pages	5
Journal	New England Journal of Medicine
Volume	319
Issue number	20
DOIs	https://doi.org/10.1056/NEJM198811173192018
State	Published - Nov 17 1988

ASJC Scopus subject areas

General Medicine

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Connell, F. A., Roper, W. L., Hackbarth, G. M., Luft, H. S., Russell, L. B., Wright, G., Sieverts, S., Hannan, E. L., Kaufman, R. T., Shortell, S. M., & Hughes, E. F. X. (1988). Effects of Regulation, Competition, and Ownership on Mortality Rates among Hospital Inpatients. New England Journal of Medicine, 319(20), 1354-1358. https://doi.org/10.1056/NEJM198811173192018

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abstract = "To the Editor: The article by Shortell and Hughes (April 28 issue)* concluded that highly regulated hospital environments are associated with higher mortality rates. As defined in this study, “mortality rate” actually signified the ratio of hospital deaths to hospital admissions. It should have been stated that a high ratio can be due to either an increase in the number of deaths or a decrease in the number of admissions. Although Shortell and Hughes focused only on the possibility that a high rate is a reflection of increased deaths, it seems equally, if not more, plausible that their results may.",

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AU - Connell, F. A.

AU - Roper, W. L.

AU - Hackbarth, G. M.

AU - Luft, H. S.

AU - Russell, L. B.

AU - Wright, G.

AU - Sieverts, S.

AU - Hannan, E. L.

AU - Kaufman, R. T.

AU - Shortell, S. M.

AU - Hughes, E. F X

PY - 1988/11/17

Y1 - 1988/11/17

N2 - To the Editor: The article by Shortell and Hughes (April 28 issue)* concluded that highly regulated hospital environments are associated with higher mortality rates. As defined in this study, “mortality rate” actually signified the ratio of hospital deaths to hospital admissions. It should have been stated that a high ratio can be due to either an increase in the number of deaths or a decrease in the number of admissions. Although Shortell and Hughes focused only on the possibility that a high rate is a reflection of increased deaths, it seems equally, if not more, plausible that their results may.

AB - To the Editor: The article by Shortell and Hughes (April 28 issue)* concluded that highly regulated hospital environments are associated with higher mortality rates. As defined in this study, “mortality rate” actually signified the ratio of hospital deaths to hospital admissions. It should have been stated that a high ratio can be due to either an increase in the number of deaths or a decrease in the number of admissions. Although Shortell and Hughes focused only on the possibility that a high rate is a reflection of increased deaths, it seems equally, if not more, plausible that their results may.

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Effects of Regulation, Competition, and Ownership on Mortality Rates among Hospital Inpatients

Abstract

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