# HLT 540 Week 3 Assignment, Discussion Question 1 and 2 – Complete

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Category: HLT 540 Tag: hlt 540

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HLT 540 Week 3

##### HLT 540 Week 3 Assignment 1, COYNE AND MESSINA ARTICLES, PART 1 ANALYSIS

(Two Papers)

1) In a paper (1,000-1,250 words), compare and contrast the major elements of the reports by Coyne et al. and Messina et al., listed in the Module 2 Readings.

2) Complete the “Coyne and Messina Articles Analysis.” Study the information in the right-side column related to the Coyne, et al. study, which identifies the required elements as found in the reading. Complete the information for the Messina et al. article by identifying the required elements from the article.

Coyne and Messina Articles Analysis

As an example guideline, review the study components in the left-side column of the table below. Read the study by Messina et al., and build the data in the right-side column with the key components in that study.

Research Question:

Coyne: Do size and ownership type make a difference in the efficiency and cost results of hospitals in Washington state? (Highlight p.164, second column, starting 15 lines from bottom to seven lines from bottom.)

Messina: How did the research question emerge from the review of literature in the article?

Coyne: Built on an earlier study by Coyne on performance differences between multi-facility systems and independent hospitals using two cost measures. Cited studies that used a range of variables to measure differences in hospital performance, and noted that prior findings have been inconclusive in regard to hospital size, although economies of scale were found.

Messina: Independent Variables

Coyne: Hospital size and hospital ownership structure. Categorical

Messina: Dependent Variables

Coyne: Efficiency measures – continuous variables. Cost measures – continuous variables.

Messina: Design Elements

1. Quantitative vs. Qualitative
2. Sample Size
3. Method of sample selection
4. Experimental vs. control group?
5. Reliable and valid data instruments?

Coyne: Quantitative 96. Picked all hospitals in state, except investor owned hospitals. Used data that are commonly used to measure hospital efficiency and performance with high degrees of accuracy (reliable), and data that are historically used and make sense to other hospital users (valid).

Messina: Describe analysis. What statistics were used?

Coyne: Two-way Analysis of Variance (ANOVA)

Messina: Did the researchers’ conclusions make sense, did they answer the research question, and did they appear to flow from the review of the literature? Did they explore control of extraneous variables?

Coyne: They concluded that size and ownership type make a difference in reported levels of efficiency. Not for profits seem to achieve higher performance levels, and medium and large not for profits operate more efficiently than industry average. The same results were found for cost levels, in that size and ownership type do make a difference, with medium sized hospitals reporting lower costs than large or small hospitals.

Yes, when they called for national studies that controlled for case mix, scope of services, and payer mix, all of which could have affected the results in this study in an unmeasured way.

##### HLT 540 Week 3 Assignment 2, ASSESSING A RESEARCH STUDY

(Three Topics)

1) Choose a research study article of interest to you.

2) Refer to the study you choose and complete “Assessing a Research Study.”

3) Identify an article that directly references your chosen study and compare it to your findings. Does this article refute or confirm the study’s findings?

4) Write a paper (750-1,000 words) that analyzes and summarizes your findings.

Assessing a Research Study: Review the study components in the left-side column of the form below. Refer to the study you chose, and complete the data in the right-side column with the key components in that study.

Research Question: How did the research question emerge from the review of literature in the article?

Independent Variables

Type:Dependent Variables

Type: Identify and Define the Study Design Elements:

1. Quantitative vs. Qualitative:
2. Sample Size
3. Method of sample selection: Explanation.
4. Identify and define the experimental and control groups?
5. Reliable and valid data instruments? Explain.

Describe analysis. What statistics were used? Did the researchers’ conclusions make sense, did they answer the research question, and did they appear to flow from the review of the literature? Did they explore control of extraneous variables?

##### HLT 540 Week 3 DISCUSSION QUESTION 1

Given that there is a documented advantage to the use of an experimental and control group design, discuss why other designs are frequently used, and the situations that may prompt the use of one.

HLT 540 Week 3 Discussion Question 2

Discuss your understanding of the concept of internal validity in a research study, and the impacts of several errors or biases that can reduce the study’s validity.

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