Nelson E C, Rust R T, Zahorik A, Rose R L, Batalden P, Siemanski B A
Dartmouth-Hitchcock Medical Center, Lebanon, NH.
J Health Care Mark. 1992 Dec;12(4):6-13.
Analysis confirms that patient perceptions of quality are associated with hospital financial performance. Multivariate analysis involving more than 15,000 patients discharged from 51 medical/surgical hospitals shows that discrete dimensions of hospital quality (i.e., medical and billing systems and discharge processes) explain approximately 17%-27% of the variation in financial measures such as hospital earnings, net revenue, and return on assets. The findings suggest that measurable improvements in patients' judgments of hospital quality might translate into better financial performance. The implications of these results and the limitations of the study are discussed.
分析证实,患者对医疗质量的认知与医院财务表现相关。一项针对51家内科/外科医院的15000多名出院患者的多变量分析表明,医院质量的不同维度(即医疗和计费系统以及出院流程)能够解释医院收益、净收入和资产回报率等财务指标中约17%-27%的变化。研究结果表明,患者对医院质量判断的可衡量改善可能转化为更好的财务表现。本文讨论了这些结果的意义以及该研究的局限性。