Research Topics
| Gloria BazzoliSummaryAffiliation: Virginia Commonwealth University Country: USA Publications
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Publications
The effects of safety net hospital closures and conversions on patient travel distance to hospital servicesGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, Richmond, PO Box 980203, VA 23298 0203, USA
Health Serv Res 47:129-50. 2012..DATA SOURCES/EXTRACTION METHODS: Hospital discharge data for selected states merged with other sources...
Hospital financial condition and the quality of patient careGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, Richmond, VA, USA
Health Econ 17:977-95. 2008..Overall, our results suggest that deep financial problems that go beyond the patient care side of business may be important to prompting quality problems...
The transition from excess capacity to strained capacity in U.S. hospitalsGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, Richmond, VA 23298, USA
Milbank Q 84:273-304. 2006..These findings suggest therefore that approaches to dealing with capacity problems might best focus on better matching individual hospitals' supply and demand adjustments...
Construction activity in U.S. hospitalsGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, Richmond, USA
Health Aff (Millwood) 25:783-91. 2006..Overall, current construction activity will provide more convenient access for some consumers but at high cost if excess capacity results...
An update on safety-net hospitals: coping with the late 1990s and early 2000sGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, in Richmond, USA
Health Aff (Millwood) 24:1047-56. 2005..Non-safety-net hospitals trimmed certain services commonly used by the indigent; this may point to future reductions in access. We examine the implications of these findings for the future of the safety net...
The Balanced Budget Act of 1997 and U.S. hospital operationsGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, 1008 E Clay St, Grant House, P O Box 980203, Richmond, VA 23298 0203, USA
Inquiry 41:401-17. 2004..However, during PPS implementation hospitals experienced declining inpatient use and growing profit margins, whereas post-BBA hospitals experienced growing inpatient use and declining margins...
U.S. hospital industry restructuring and the hospital safety netGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, Richmond 23298 0203, USA
Inquiry 40:6-24. 2003..If networks and systems are key parties in negotiating with private payers, SNHs may be going it alone in these negotiations in highly competitive markets...
The influence of health policy and market factors on the hospital safety netGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, 1008 E. Clay Street, PO Box 980203, Richmond, VA 23298-0203, USA
Health Serv Res 41:1159-80. 2006..They raise concern given continuing state budget crises plus the focus of recent federal deficit reduction legislation intended to cut Medicaid expenditures...
Does case management matter as a hospital cost-control strategy?Kenneth R White
Graduate Program in Health Administration, Virginia Commonwealth University, Richmond, USA
Health Care Manage Rev 30:32-43. 2005..Although case management may be beneficial for certain populations, institution-wide effects in the form of decreased costs or decreased length of stay do not appear to be present in the study hospitals...
Is more better? An analysis of hospital outcomes and efficiency with a DEA model of output congestionJan P Clement
Department of Health Administration, Virginia Commonwealth University, P O Box 980203, Richmond, VA 23298 0203, USA
Health Care Manag Sci 11:67-77. 2008..The results show that lower technical efficiency is associated with poorer risk-adjusted quality outcomes in the study hospitals. They are consistent with other studies linking poor quality outcomes to higher cost...
Impacts of market and organizational characteristics on hospital efficiency and uncompensated careHui Min Hsieh
Department of Health Administration, Virginia Commonwealth University, Richmond, USA
Health Care Manage Rev 35:77-87. 2010..Policy makers have expressed concern that hospitals may forgo providing care to the indigent as a means to reduce costs and become more efficient when faced with financial pressures...
The corporatization of American hospitalsGloria J Bazzoli
Virginia Commonwealth University, Richmond, USA
J Health Polit Policy Law 29:885-905; discussion 1005-19. 2004
Two decades of organizational change in health care: what have we learned?Gloria J Bazzoli
Virginia Commonwealth University, VA, USA
Med Care Res Rev 61:247-331. 2004..In all, around 100 studies were examined to assess what was learned through two decades of research on organizational change in health care...
Managed care arrangements of health networks and systems. A review of the 1999 experienceGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, 1008 E Clay Street, P O Box 980203, Richmond, VA 23298 0203, USA
J Ambul Care Manage 26:217-28. 2003..In light of this, it is now a good time for physicians and medical group managers to reflect on their experiences in the 1990s and to assess the merits and shortcomings of different intermediary organizations with which they may align...
Rejoinder to taxonomy of health networks and systems: a reassessmentGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, 1008 E. Clay Street, PO Box 980203, Richmond, VA 23298-0203, USA
Health Serv Res 41:629-39; author reply 640-2. 2006
Hospital financial condition and operational decisions related to the quality of hospital careGloria J Bazzoli
Virginia Commonwealth University, Richmond, VA, USA
Med Care Res Rev 64:148-68. 2007..Given the findings of earlier studies, these results suggest that poor outcomes may in part result from deterioration in supporting infrastructure and organizational processes...
Hospital reorganization and restructuring achieved through mergerGloria J Bazzoli
Department of Health Administration, Virginia Commonwealth University, Richmond, USA
Health Care Manage Rev 27:7-20. 2002..Hospital mergers during 1989-1996, however, focused increasingly on reducing nursing FTEs and less on converting acquired hospitals to new service lines...
The effect of changes in hospital reimbursement on nurse staffing decisions at safety net and nonsafety net hospitalsRichard C Lindrooth
Department of Health Administration and Policy, Medical University of South Carolina, 151 Rutledge Ave, Building B, P.O. Box 250961, Charleston, SC 29425, USA
Health Serv Res 41:701-20. 2006..In contrast, safety net hospitals did not respond to the provisions of the BBA by reducing staffing ratios. This conclusion is tempered by the fact that we have few safety net hospitals in the sample...
Does U.S. hospital capacity need to be expanded?Gloria J Bazzoli
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 22:40-54. 2003..Although additional capacity might be needed in some markets, better management of existing resources could be a more effective solution...
Whom do they serve? Community responsiveness among hospitals affiliated with health systems and networksShoou Yih D Lee
Department of Health Policy and Administration, School of Public Health, The University of North Carolina, Chapel Hill, North Carolina 27599 7411, USA
Med Care 41:165-79. 2003..As the US hospital sector becomes more consolidated, concerns have been raised about whether participation in health systems and health networks may reduce community hospitals' response to community health needs...
The effect of urban hospital closure on marketsRichard C Lindrooth
Department of Health Administration and Policy, Medical University of South Carolina, 19 Hagood Road, P O Box 250807, Charleston, SC 29425, USA
J Health Econ 22:691-712. 2003..Overall, we estimate that costs per adjusted admission declined by 2-4% for all patients and about 6-8% for patients who would have been treated at the closed hospital...
Adoption of hospital case management: economic and institutional influencesSusan D Roggenkamp
Department of Management, Health Care Management Program, Walker College of Business, Appalachian State University, Boone, NC 28608, USA
Soc Sci Med 60:2489-500. 2005..Implications for practice and further research are discussed...
Governance forms in health systems and health networksJeffrey A Alexander
Department of Health Management and Policy, The University of Michigan, Ann Arbor, USA
Health Care Manage Rev 28:228-42. 2003....
Hospitals' responses to nurse staffing shortagesJessica H May
Center for Studying Health System Change HSC, Washington, DC, USA
Health Aff (Millwood) 25:W316-23. 2006..However, hospitals' actions have increased costs and raised concerns about their potential impact on patient care. Additionally, a large degree of doubt exists among hospitals about their ability to meet future nursing needs...
Reexamining organizational configurations: an update, validation, and expansion of the taxonomy of health networks and systemsNicole L Dubbs
Columbia University School of Public Health, Department of Health Policy and Management, New York, New York 10032, USA
Health Serv Res 39:207-20. 2004..S. health care industry and the consequent shifting of organizational configurations in this arena. There is also value in continuing to move the taxonomy in the direction of refinement/expansion as new opportunities become available...
Evaluating community partnerships: a reply to Spitz and RitterStephen M Shortell
J Health Polit Policy Law 27:1023-8; author reply 1029-30. 2002
Hospital inefficiency: what is the impact of membership in different types of systems?Michael D Rosko
School of Business Administration, Widener University, Chester, PA 19013, USA
Inquiry 44:335-49. 2007....
Research Grants
- Hospital Finances and the Quality of Hospital CareGloria Bazzoli; Fiscal Year: 2004..does public policy that affects hospital payments, especially the 1997 Balanced Budget Act and its revisions, influence hospital decisions about quality-related resources and processes and the care their patients receive? ..
- Safety Net Hospitals and Minority Access to Health CareGloria Bazzoli; Fiscal Year: 2007..It is important for policy makers, the public, and the health industry to know what this might mean for access to care if the loss of financial support results in further safety net contraction. ..
- Safety Net Hospitals and Minority Access to Health CareGloria Bazzoli; Fiscal Year: 2009..It is important for policy makers, the public, and the health industry to know what this might mean for access to care if the loss of financial support results in further safety net contraction. ..
