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6 Factors that Hurt Outcomes at Safety Net Hospitals

By HealthLeaders Media News  
   September 29, 2016

What works at hospitals with many privately insured patients may not work at facilities serving the poor and uninsured.

Disparities in surgical outcomes at safety net hospitals (SNH)—both real and perceived—are the result of a complex series of factors, say three Boston Medical Center surgeons in a paper published in the current JAMA Surgery.


Underfunding, Understaffing Hobble Outcomes at Safety Net Hospitals


Outcomes at these hospitals are influenced by factors at the individual, organizational, and policy levels, said Ryan Macht, MD, David McAneny, MD, and Gerard Doherty, MD.

At the individual level, risk-adjustment models used to evaluate quality fail to account for numerous factors that can influence outcomes at SNHs.


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