Hefner et al. BMC Health Services Research (2021) 21:278 https://doi.org/10.1186/s12913-021-06292-9 RESEARCH ARTICLE Open Access Defining safety net hospitals in the health services research literature: a systematic review and critical appraisal Jennifer L....
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Hefner et al. BMC Health Services Research (2021) 21:278 https://doi.org/10.1186/s12913-021-06292-9 RESEARCH ARTICLE Open Access Defining safety net hospitals in the health services research literature: a systematic review and critical appraisal Jennifer L. Hefner1* , Tory Harper Hogan1, William Opoku-Agyeman2 and Nir Menachemi3 Abstract Background: The aim of this study was to identify the range of ways that safety net hospitals (SNHs) have been empirically operationalized in the literature and determine the extent to which patterns could be identified in the use of empirical definitions of SNHs. Methods: We conducted a PRISMA guided systematic review of studies published between 2009 and 2018 and analyzed 22 articles that met the inclusion criteria of hospital-level analyses with a clear SNH definition. Results: Eleven unique SNH definitions were identified, and there were no obvious patterns in the use of a definition category (Medicaid caseload, DSH payment status, uncompensated ca
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