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 <title>General Hospitals: Operational and Clinical Changes Largely Unaffected by Presence of Competing Specialty Hospitals</title>
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<abstract>There has been much debate about specialty hospitals--short-term
acute care hospitals with physician owners or investors that	 
primarily treat patients who have specific medical conditions or 
need surgical procedures--and the competitive effects they may	 
have on general hospitals. Advocates of specialty hospitals	 
contend that competition from these physician-owned facilities	 
can prompt general hospitals to implement efficiency, quality,	 
and amenity improvements, thus favorably affecting the overall	 
health care delivery system. Critics of specialty hospitals are  
concerned that general hospitals may respond to such competition 
by making changes that do not necessarily increase efficiency or 
benefit patients or communities, for example, by adding services 
already available in the community. The appropriateness of	 
physicians&apos; financial interests in specialty hospitals has also  
been questioned. GAO was asked to provide information on the	 
competitive response of general hospitals to specialty hospitals.
GAO surveyed approximately 600 general hospitals in markets with 
and without specialty hospitals to provide information on the	 
extent to which these two groups of general hospitals reported	 
implementing operational and clinical service changes to remain  
competitive. GAO received responses from 401 general hospitals.</abstract>
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 <topic>Competition</topic>
 <topic>Hospitals</topic>
 <topic>Surveys</topic>
 <topic>Hospital administration</topic>
 <topic>Community hospitals</topic>
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  <partNumber>Volume 120 Page 4</partNumber>
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 <identifier type="Statute citation">120 Stat. 4</identifier>
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  <title>United States Public Law 171 (109th Congress)</title>
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