USF St. Petersburg campus Honors Program Theses (Undergraduate)

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Thesis Director: Richard B. Smith, Ph.D., Associate Professor, Kate Tiedmann College of Business



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Recent pressures on hospitals to increase quality and efficiency raise concerns over their ability to continue necessary provision of uncompensated care and maintain access to patient services. Conflicting evidence has been presented on the quality of hospitals providing efficiency. However, no study has examined the interplay between hospital quality, efficiency, and provision of uncompensated care. Our study seeks to address this gap by estimating the relationship between hospital efficiency and uncompensated (charity) care, and the relationship of efficiency and charity to quality, for all short-term, Florida general hospitals from 2004-2015. We find a generally negative relationship between hospital charity care rate and hospital uncompensated care compared to the least efficient hospitals. The results also show a positive relationship between charity rate and hospital quality, and an insignificant relationship between hospital efficiency and quality. Future studies should examine the environmental factors responsible for these results.

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