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Letters | October 8, 2008

Comparisons of Safety-Net and Non–Safety-Net Hospitals—Reply

Rachel M. Werner, MD, PhD; L. Elizabeth Goldman, MD, MCR; R. Adams Dudley, MD, MBA

JAMA. 2008;300(14):1650-1652. doi:10.1001/jama.300.14.1652.

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In Reply: Mr Aviles and Ms O’Connell take exception with our finding that hospitals with a higher percentage of Medicaid patients have lower baseline performance on average than other hospitals. We do not suggest that all safety-net hospitals have low performance, but that on average baseline hospital performance is lower if the percentage of patients insured by Medicaid is higher. This finding is consistent with numerous other studies that have found that a hospital's payer mix, its ownership (ie, public hospitals), and the race and socioeconomic status of its patients influence hospital performance¹^- 3 and suggests that safety-net hospitals face barriers to performing well on these measures.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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October 8, 2008

Comparisons of Safety-Net and Non–Safety-Net Hospitals

Alan D. Aviles, JD

JAMA. 2008;300(14):1650-1652. doi:10.1001/jama.300.14.1650-b.

October 8, 2008

Comparisons of Safety-Net and Non–Safety-Net Hospitals

Gene Marie O’Connell, RN, MS

JAMA. 2008;300(14):1650-1652. doi:10.1001/jama.300.14.1651-a.

October 8, 2008

Comparisons of Safety-Net and Non–Safety-Net Hospitals

Jeffrey L. Williams, MD, MS

JAMA. 2008;300(14):1650-1652. doi:10.1001/jama.300.14.1651-b.

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Werner RM, Goldman L, Dudley R. Comparisons of Safety-Net and Non–Safety-Net Hospitals—Reply. JAMA. 2008;300(14):1650-1652. doi:10.1001/jama.300.14.1652.

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