An Examination of Florida Hospices: Does For-Profit or Nonprofit Status Impact the Quality of Patient Care?

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Bettina Mrusek
Bettina Mrusek Ph.D. in Business Administration from Northcentral University
1 Embry Riddle Aeronautical University

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When the Medicare Hospice Benefit program was initially introduced, the market was dominated by non-profit hospices. Today, however, this is no longer the case. Although nonprofits are often associated with a higher quality of care, the financial incentives created by the Medicare Hospice Benefit program have resulted with a for-profit dominated market. The specific problem examined was the impact of organizational constructs on the quality of patient care in the state of Florida. The purpose of this study was to determine whether any significant differences were present in the quality of hospice patient care resulting from differing ownership types utilizing a Contingency Theory approach. A quantitative comparative analysis was conducted utilizing descriptive statistics and ANOVA analyses. The participants for the study included all licensed Florida hospices that submitted the State of Florida Department of Elder Affairs Hospice Demographic and Outcome Measures Report between 2010 and 2015. The findings indicated an underrepresentation of for-profit hospices in the state of Florida, with no statistically significant differences between the quality of care in for-profit and nonprofit hospices. Both of these findings are inconsistent with previous research.

Funding

No external funding was declared for this work.

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The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

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Not applicable for this article.

Bettina Mrusek. 2017. \u201cAn Examination of Florida Hospices: Does For-Profit or Nonprofit Status Impact the Quality of Patient Care?\u201d. Global Journal of Management and Business Research - A: Administration & Management GJMBR-A Volume 17 (GJMBR Volume 17 Issue A6): .

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Crossref Journal DOI 10.17406/GJMBR

Print ISSN 0975-5853

e-ISSN 2249-4588

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GJMBR-A Classification: JEL Code: M10
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October 23, 2017

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English

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When the Medicare Hospice Benefit program was initially introduced, the market was dominated by non-profit hospices. Today, however, this is no longer the case. Although nonprofits are often associated with a higher quality of care, the financial incentives created by the Medicare Hospice Benefit program have resulted with a for-profit dominated market. The specific problem examined was the impact of organizational constructs on the quality of patient care in the state of Florida. The purpose of this study was to determine whether any significant differences were present in the quality of hospice patient care resulting from differing ownership types utilizing a Contingency Theory approach. A quantitative comparative analysis was conducted utilizing descriptive statistics and ANOVA analyses. The participants for the study included all licensed Florida hospices that submitted the State of Florida Department of Elder Affairs Hospice Demographic and Outcome Measures Report between 2010 and 2015. The findings indicated an underrepresentation of for-profit hospices in the state of Florida, with no statistically significant differences between the quality of care in for-profit and nonprofit hospices. Both of these findings are inconsistent with previous research.

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An Examination of Florida Hospices: Does For-Profit or Nonprofit Status Impact the Quality of Patient Care?

Bettina Mrusek
Bettina Mrusek Embry Riddle Aeronautical University

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