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1985 - 1990年按病种付费制下医院及医疗保险的财务绩效。

Hospital and Medicare financial performance under PPS, 1985-90.

作者信息

Fisher C R

机构信息

Office of National Health Statistics, Health Care Financing Administration.

出版信息

Health Care Financ Rev. 1992 Fall;14(1):171-83.

PMID:10124437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4193316/
Abstract

Although an increasing number of hospitals are reporting net losses from the Medicare prospective payment system (PPS) for inpatient care, overall hospital facility profit rates remain stable. Hospitals that reported net profits in the Medicare inpatient PPS sector in PPS 7 (1990) had smaller increases in Medicare expenses than hospitals that reported PPS losses in PPS 7. Medicare PPS inpatient net losses in PPS 7 were more than offset by non-Medicare net profits. Even though Medicare PPS revenues grew more slowly than the gross domestic product from 1985 to 1990, other hospital revenues grew more rapidly.

摘要

尽管越来越多的医院报告称,其住院治疗的医疗保险预期支付系统(PPS)出现净亏损,但医院整体设施利润率仍保持稳定。在PPS 7(1990年)中,在医疗保险住院PPS部门报告有净利润的医院,其医疗保险费用的增长幅度小于在PPS 7中报告有PPS亏损的医院。PPS 7中医疗保险PPS住院净亏损被非医疗保险净利润大幅抵消。尽管1985年至1990年期间医疗保险PPS收入的增长速度低于国内生产总值,但其他医院收入增长更快。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7313/4193316/0b571f58f6d2/hcfr-14-1-171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7313/4193316/171a9e1577c3/hcfr-14-1-171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7313/4193316/0b571f58f6d2/hcfr-14-1-171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7313/4193316/171a9e1577c3/hcfr-14-1-171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7313/4193316/0b571f58f6d2/hcfr-14-1-171-g002.jpg

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本文引用的文献

1
Trends in total hospital financial performance under the prospective payment system.按预期支付制度划分的医院总体财务绩效趋势。
Health Care Financ Rev. 1992 Spring;13(3):1-16.
2
Profits, community role, and hospital closure: an urban and rural analysis.利润、社区角色与医院关闭:城乡分析
Med Care. 1992 Feb;30(2):174-87. doi: 10.1097/00005650-199202000-00008.