{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T06:47:13Z","timestamp":1782715633148,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Private equity (PE) firms are increasingly acquiring US hospitals. While PE ownership may infuse capital and managerial expertise, restructuring by organizations with limited patient\u2010care experience raises safety concerns. The effect of PE ownership on hospital outcomes remains poorly defined. This study evaluated the association between PE hospital acquisition and patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the impact of private equity aquisition of hospitals on patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of PubMed and Web of Science (inception to March 2026) was conducted in accordance with preferred reporting items for systematic reviews and meta\u2010analyses guidelines using terms related to \u201cprivate equity,\u201d \u201chospital,\u201d \u201cmortality,\u201d and \u201ccomplications.\u201d Eligible studies were US observational or quasi\u2010experimental analyses comparing outcomes between PE\u2010acquired and nonacquired hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight studies published from 2010 to 2026 met the inclusion criteria. PE ownership was consistently associated with higher mortality, complication, and failure\u2010to\u2010rescue rates among surgical patients, while findings for readmissions and length of stay were mixed across studies. Additional findings included more hospital\u2010acquired infections and fewer discharges home.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PE acquisition of US hospitals may be associated with worse patient outcomes, particularly in high\u2010acuity surgical care. Greater ownership transparency, regulatory oversight, and standardized quality safeguards are needed to protect patient safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.70369","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T06:26:22Z","timestamp":1782714382000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The impact of private equity acquisition of US hospitals on patient outcomes: A systematic review"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9825-8964","authenticated-orcid":false,"given":"Angad S.","family":"Sidhu","sequence":"first","affiliation":[{"name":"Indiana University School of Medicine Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikola S.","family":"Vuckovic","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salil","family":"Gupta","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manav B.","family":"Patel","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristiane M.","family":"Ueno","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine Indianapolis Indiana USA"},{"name":"Division of Plastic Surgery Indiana University School of Medicine Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.3552"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2021.01284"},{"issue":"3","key":"e_1_2_9_4_1","first-page":"657","article-title":"Private equity and the corporatization of health care","volume":"76","author":"Fuse Brown EC","year":"2024","journal-title":"Stanford Law Rev"},{"key":"e_1_2_9_5_1","unstructured":"National Health Spending Grew Slightly in 2021.Centers for Medicare & Medicaid Services. 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