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Table 2 HIO Presence and Hospital Participation in Markets with different Hospital and Vendor Characteristics

From: The relationship between hospital and ehr vendor market dynamics on health information organization presence and participation

Variables

Linear Probability Model Coefficients for HIO Presence

Linear Regression Coefficients for Hospital Participation

Constant

−0.232

(0.158)

54.8**

(17.4)

Hospital Dynamics

Number of Hospitals (Ref: Low 1–4)

 Moderate (5–8)

0.185*

(0.079)

−5.2

(5.8)

 High (9+)

0.190**

(0.068)

−10.9*

(4.7)

Hospital Competition (Ref: Non-competitive, HHI= 0.46–1.00)

    

 Moderately Competitive (0.25–0.45)

− 0.118

(0.063)

−8.4

(4.7)

 Highly Competitive (0.00–0.24)

−0.252**

(0.078)

−10.2

(6.0)

For-Profit Hospital Market Share (Ref: Low 0–57%)

    

 High For-Profit Hospital Market Share (> 57%)

−0.067

(0.053)

−5.6

(3.9)

EHR Vendor Dynamics

Number of EHR Vendors (Ref: Low 1–2)

 Moderate (3–4)

0.208**

(0.070)

5.4

(5.0)

 High (5+)

0.318***

(0.095)

7.0

(6.6)

Vendor Competition (Ref: Non-competitive, HHI= 0.63–1.00)

 Moderately Competitive (0.38–0.62)

0.033

(0.059)

−6.9

(4.5)

 Highly Competitive (0.00–0.37)

−0.039

(0.072)

−11.2*

(5.6)

Alternative HIE Approach (Ref: No)

    

 Yes (50–100% of hospitals on Epic)

0.144**

(0.046)

1.2

(3.1)

Community Controls

% Hospital Participation in Patient Centered Medical Home and/or Accountable Care Organizations

0.004***

(0.001)

0.1

(0.21)

Avg. % Revenue from Shared Risk Programs

0.004

(0.005)

0.1

(0.3)

% Inpatient Days Medicare

0.002

(0.002)

0.1

(0.2)

% Inpatient Days Medicaid

0.007

(0.004)

0.1

(0.3)

Hospital Beds per 1000 residents

−0.001

(0.002)

0.1

(0.2)

FTE Hospital Staff per 1000 residents

0.000

(0.000)

0.0

(0.0)

Percentage of Hospitals in Urban Settings

0.005***

(0.001)

0.0

(0.1)

Number of Physicians (Weighted County Average)

−0.000*

(0.000)

0.0

(0.0)

State Fixed Effects

Included

 

Included

 

n

469

 

298

 

R2

0.44

 

0.16

 
  1. Note: * p<0.05, ** p<0.01, *** p<0.001. All models include state fixed effects. Robust standard error in parentheses