Delivery System Changes

Recent Publications

Academic Medical Centers and the Culture of Local Markets. Mark W. Legnini and Emily K. Waldman. Prepared under a grant from The W. J. Kellogg Foundation, August 1999. Investigates how Academic Medical Centers are coping with the increasingly competivie marketplace and how they fulfill their commitment to serve the poor in today's "bottom-line" oriented hospital industry; based on case studies of Academic Medical Centers in Baltimore, Boston, San Francisco, and Seattle. The report is available in PDF format and can be viewed on-line or downloaded.It can also be ordered by sending an email request to esri@esresearch.org or by calling 202 833-8877 ext. 10.

Current Policy Issues Affecting Safety Net Providers: The Health Care Safety Net in Four Communities Jack A. Meyer, Mark W. Legnini, and Emily K. Waldman. Prepared under a grant from The W. J. Kellogg Foundation, August 1999.Discusses sources of distress for Academic Medical Centers and Community Health Centers as safety net providers and how they are coping with these challenges; based on case studies in Baltimore, Boston, San Francisco, and Seattle. The report is available in PDF format and can be viewed on-line or downloaded.It can also be ordered by sending an email request to esri@esresearch.org or by calling 202 833-8877 ext. 10.

Privatization of Public Hospitals, Mark W. Legnini, Stephanie E. Anthony, Elliot K. Wicks, Jack A. Meyer, Lise S. Rybowski, and Larry S. Stepnick, January 1999. Prepared for and published by The Kaiser Family Foundation. Based on case studies of five hospital conversions from public to private status, as well as a number of other less intense investigations. Analyzes the causes and effects of such conversions, with special attention to the effects on the hospitals' public purpose. The report and the Executive Summary are available in PDF format and from the Kaiser Family Foundation.

Assessing the Early Impact of Hospital Mergers: An Analysis of the St. Louis and Philadelphia Markets, Elliot K. Wicks, Jack A. Meyer, and Marcia Carlyn. Prepared for the Robert Wood Johnson Foundation, January 1998. Compares the effects of hospital merger activity in St. Louis, where mergers began in 1993, and in Philadelphia, where they began only recently, to determine whether the expected effects of mergers in terms of increased efficiency and reduction in excess capacity and resource duplication have been realized. The Executive Summary is available on line in HTML format. The full report can be ordered from ESRI for $20; discounts are available for volume orders. Send email request to esri@esresearch.org, or if you do not have email, call 202 833-8877.

*PDF formatted documents retain all formatting and layout of the original document, including tables and graphs. Such documents can be downloaded, read, and printed by anyone who has downloaded and installed Adobe Acrobat 3.0, which is available for no charge from Adobe's Web Site.)