{"id":"https://openalex.org/W2945003166","doi":"https://doi.org/10.1111/1475-6773.13168","title":"Do health insurance and hospital market concentration influence hospital patients\u2019 experience of care?","display_name":"Do health insurance and hospital market concentration influence hospital patients\u2019 experience of care?","publication_year":2019,"publication_date":"2019-05-16","ids":{"openalex":"https://openalex.org/W2945003166","doi":"https://doi.org/10.1111/1475-6773.13168","mag":"2945003166","pmid":"https://pubmed.ncbi.nlm.nih.gov/31095743","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6606537"},"language":"en","primary_location":{"id":"doi:10.1111/1475-6773.13168","doi":"https://doi.org/10.1111/1475-6773.13168","is_oa":false,"landing_page_url":"https://doi.org/10.1111/1475-6773.13168","pdf_url":null,"source":{"id":"https://openalex.org/S2228914","display_name":"Health Services Research","issn_l":"0017-9124","issn":["0017-9124","1475-6773"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-3","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6606537/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008298438","display_name":"Caroline Hanson","orcid":"https://orcid.org/0000-0002-1963-9387","observed_orcids":["https://orcid.org/0000-0002-1963-9387"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Caroline Hanson","raw_affiliation_strings":["Department of Health Policy and Management Johns Hopkins Bloomberg School of Public Health Baltimore Maryland"],"raw_orcid":"https://orcid.org/0000-0002-1963-9387","affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management Johns Hopkins Bloomberg School of Public Health Baltimore Maryland","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005638612","display_name":"Bradley J. Herring","orcid":"https://orcid.org/0000-0001-6845-1412","observed_orcids":["https://orcid.org/0000-0001-6845-1412"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bradley Herring","raw_affiliation_strings":["Department of Health Policy and Management Johns Hopkins Bloomberg School of Public Health Baltimore Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management Johns Hopkins Bloomberg School of Public Health Baltimore Maryland","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084518122","display_name":"Erin E. Trish","orcid":"https://orcid.org/0000-0002-8736-7862","observed_orcids":["https://orcid.org/0000-0002-8736-7862"]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erin Trish","raw_affiliation_strings":["Schaeffer Center for Health Policy and Economics University of Southern California Los Angeles California","School of Pharmacy University of Southern California Los Angeles California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Schaeffer Center for Health Policy and Economics University of Southern California Los Angeles California","institution_ids":["https://openalex.org/I1174212"]},{"raw_affiliation_string":"School of Pharmacy University of Southern California Los Angeles California","institution_ids":["https://openalex.org/I1174212"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5008298438"],"corresponding_institution_ids":["https://openalex.org/I145311948"],"apc_list":{"value":3300,"currency":"USD","value_usd":3300},"apc_paid":null,"fwci":1.072,"has_fulltext":false,"cited_by_count":15,"citation_normalized_percentile":{"value":0.76591928,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"54","issue":"4","first_page":"805","last_page":"815"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.6654999852180481,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.6654999852180481,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.3278999924659729,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.005100000184029341,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hospital-market-concentration","display_name":"hospital market concentration","score":0.9779999852180481},{"id":"https://openalex.org/keywords/patient-experience","display_name":"patient experience","score":0.824999988079071},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.9490000009536743},{"id":"https://openalex.org/keywords/hospital-consolidation","display_name":"hospital consolidation","score":0.859000027179718},{"id":"https://openalex.org/keywords/hospital-competition","display_name":"hospital competition","score":0.7250000238418579},{"id":"https://openalex.org/keywords/hospital-quality","display_name":"hospital quality","score":0.5189999938011169}],"concepts":[{"id":"https://openalex.org/C122048520","wikidata":"https://www.wikidata.org/wiki/Q2913954","display_name":"Percentile","level":2,"score":0.7483693361282349},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.747498631477356},{"id":"https://openalex.org/C2993624421","wikidata":"https://www.wikidata.org/wiki/Q16917","display_name":"Hospital care","level":3,"score":0.48983046412467957},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.46867403388023376},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4117773771286011},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3494334816932678},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D004465","descriptor_name":"Economic Competition","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006742","descriptor_name":"Hospital Bed Capacity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008137","descriptor_name":"Longitudinal Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010067","descriptor_name":"Ownership","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012111","descriptor_name":"Residence Characteristics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019458","descriptor_name":"Insurance Coverage","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1111/1475-6773.13168","doi":"https://doi.org/10.1111/1475-6773.13168","is_oa":false,"landing_page_url":"https://doi.org/10.1111/1475-6773.13168","pdf_url":null,"source":{"id":"https://openalex.org/S2228914","display_name":"Health Services Research","issn_l":"0017-9124","issn":["0017-9124","1475-6773"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-3","ki-jl-1","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Services Research","raw_type":"journal-article"},{"id":"pmid:31095743","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31095743","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health services research","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6606537","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6606537/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Serv Res","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:6606537","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6606537/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Serv Res","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9476000070571899,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G58699415","display_name":null,"funder_award_id":"R36 HS026333","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"}],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":25,"referenced_works":["https://openalex.org/W1619234160","https://openalex.org/W1773095287","https://openalex.org/W1954876167","https://openalex.org/W1971501159","https://openalex.org/W2019399853","https://openalex.org/W2024335197","https://openalex.org/W2038069790","https://openalex.org/W2044805863","https://openalex.org/W2051190670","https://openalex.org/W2062806646","https://openalex.org/W2094942778","https://openalex.org/W2097157440","https://openalex.org/W2100154743","https://openalex.org/W2117278400","https://openalex.org/W2143082272","https://openalex.org/W2154964165","https://openalex.org/W2168921156","https://openalex.org/W2170594867","https://openalex.org/W2331886782","https://openalex.org/W2613218900","https://openalex.org/W2741831663","https://openalex.org/W2890847024","https://openalex.org/W3021862069","https://openalex.org/W3124627004","https://openalex.org/W4302380368"],"related_works":["https://openalex.org/W2100154743","https://openalex.org/W2613218900","https://openalex.org/W4367596971","https://openalex.org/W30818221","https://openalex.org/W2793425752","https://openalex.org/W3122206990","https://openalex.org/W2062806646","https://openalex.org/W2143082272","https://openalex.org/W2030708590","https://openalex.org/W2154208648"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"examine":[2],"the":[3,46,103,164,170,188,195,224,241,244],"effects":[4],"of":[5,15,72,166,190,246],"insurance":[6,25,54,73,90,109,126,143,156,214],"and":[7,53,74,78,91,102,110,128,145,158,187],"hospital":[8,12,43,75,79,92,111,134,148,161,171,196,221,227,234,247],"market":[9,55,76,139,152],"concentration":[10,77,112,127,144,149,157,162,215,228],"on":[11,21,34,243],"patients'":[13],"experience":[14,36,67],"care,":[16],"as":[17,69],"hospitals":[18],"may":[19,254],"compete":[20],"quality":[22],"for":[23,32,213,226],"favorable":[24],"contracts.":[26],"DATA":[27,94],"SOURCES/STUDY":[28],"SETTING:":[29],"Secondary":[30],"data":[31,98],"2008-2015":[33],"patient":[35,40,66,118,256],"from":[37,45,57,99,137,173,197],"Hospital":[38,48,100],"Compare's":[39],"survey":[41],"data,":[42],"characteristics":[44,56],"American":[47],"Association":[49],"(AHA)":[50],"Annual":[51],"Survey,":[52],"HealthLeaders-InterStudy.":[58],"STUDY":[59],"DESIGN:":[60],"Hospital/year-level":[61,97],"regressions":[62],"predict":[63],"each":[64],"hospital's":[65],"measure":[68],"a":[70,138,151],"function":[71],"fixed":[80],"effects.":[81],"The":[82,211],"model":[83],"is":[84,216,229],"identified":[85],"by":[86,106],"longitudinal":[87],"variation":[88],"in":[89,117,125,133,218,231],"concentration.":[93,135],"COLLECTION/EXTRACTION":[95],"METHODS:":[96],"Compare":[101],"AHA":[104],"merged":[105],"market/year":[107],"to":[108,150,180,204,240],"measures.":[113],"PRINCIPAL":[114],"FINDINGS:":[115],"Changes":[116],"satisfaction":[119],"are":[120],"positively":[121],"associated":[122,130],"with":[123,131,140,153],"increases":[124,132,163],"negatively":[129],"Moving":[136],"20th":[141,159],"percentile":[142,147,155,160],"80th":[146,154],"share":[165,189],"patients":[167,191],"that":[168,192,251],"rated":[169],"highly":[172],"66.9":[174],"percent":[175,182,199,206],"(95%":[176,183,200,207],"CI:":[177,184,201,208],"66.5-67.2":[178],"percent)":[179,186,203],"67.9":[181],"67.5-68.3":[185],"definitely":[193],"recommend":[194],"69.7":[198],"69.4-70.0":[202],"70.8":[205],"70.5-71.2":[209],"percent).":[210],"relationship":[212,225],"stronger":[217,230],"more":[219],"concentrated":[220,233],"markets,":[222],"while":[223],"less":[232],"markets.":[235],"CONCLUSIONS:":[236],"These":[237],"findings":[238],"add":[239],"evidence":[242],"harms":[245],"consolidation":[248,253],"but":[249],"suggest":[250],"insurer":[252],"improve":[255],"experience.":[257]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":7},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2019-05-29T00:00:00"}
