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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.

3) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

4) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Do size and ownership type make a difference in the efficiency and cost results of hospitals in Washington state?

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.

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