Impact of hospital mergers: a systematic review focusing on healthcare quality measures.

Structure indicators Concerning structure indicators, the change in number of beds after merger showed a decreasing trend: statistically significant decreases in two studies (−0.12 on logarithmic scale; −33.98) 2 , 4 and a non-statistical significant decrease in another study (−20.7, t -value 0.35) were found. 29 Three studies evaluated change in hospital staff number: one 2 ( table 2 ) showing a significant decrease in total hospital staff (−0.12 on logarithmic scale), one 9 showing a non-significant reduction in the number of physician employees (−19, t -value 0.05), and the other 4 a non-significant negative value in the difference-in-difference analysis for total personnel per average daily (−35.68).

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