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. Author manuscript; available in PMC: 2015 May 1.
Published in final edited form as: Med Care. 2014 May;52(5):407–414. doi: 10.1097/MLR.0000000000000107

Table 2. Organizational control factors.

Factor (x) Unit of measure Controls for differences in Predicted effect of difference (Δr,s(x) = xreceiver- xsender))
Size Hospital beds Organizational size Positive: Larger hospitals tend to attract more patients from smaller hospitals.
Revenue per discharged patient Monetary units (Euros) Cost absorption computed on the basis of the reimbursement claims made on the basis of the DRG system Positive: Patients tend to flow toward hospitals offering more sophisticated and hence expensive services;
Complexity Case Mix Index Capabilities and experience in dealing with complex clinical cases Positive: Patients tend to flow toward hospitals capable of treating more complex cases
Occupancy rate Dimensionless proportion of beds occupied Hospital capacity management Positive: Patients tend to flow toward hospitals that are better able to manage the allocation of their capacity.
Level of care Dimensionless binary indicator variable Level of care that partner hospitals offer (rehabilitation, secondary, tertiary) Negative. Patients flows are less likely to be observed between hospitals offering the same levels of care
Geographical distance Kilometers Distance Negative. The intensity of patient flows between two hospitals decrease as the distance between them increases.
Local Health Unit (LHU) Dimensionless categorical variable Membership in the same Local Health Unit Positive. Hospitals belonging to the same administrative units will find it easier to coordinate patient sharing activities. As a consequence patients flow will be more intense between hospitals in the same LHU.
Institutional category Dimensionless categorical variable Membership in the same broadly defined institutional category (public vs. private) Negative. Patients sharing activities are more likely to be observed across the private/public divide.