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营利性多医院系统所有权对医院财务和运营绩效的影响。

The effects of for-profit multihospital system ownership on hospital financial and operating performance.

作者信息

Lynch J R, McCue M J

机构信息

Medical College of Virginia, Virginia Commonwealth University, Richmond 23298.

出版信息

Health Serv Manage Res. 1990 Nov;3(3):182-92. doi: 10.1177/095148489000300304.

DOI:10.1177/095148489000300304
PMID:10125075
Abstract

The financial and operating performance of independent not-for-profit hospitals acquired by US for-profit multi-hospital systems in 10 Southern states between the years 1978 and 1982 was explored. The impact of system ownership on acquired hospitals was investigated by comparing the average financial performance of hospitals in the two years immediately prior to acquisition to the average for 1984 and 1985 and by comparing changes in the performance of acquired hospitals with changes in matched independent facilities. Findings suggest that for-profit multi-hospital systems were able to improve many of the financial and operating problems of acquired facilities. In comparison to independent not-for-profit hospitals, acquired hospitals were found to increase access to long-term debt, make improvements to plant and equipment, improve profitability, and increase efficiency to a greater extent. Prices in acquired hospitals rose more than those in independents and liquidity decreased to a greater extent.

摘要

对1978年至1982年间美国营利性多医院系统在10个南部州收购的独立非营利性医院的财务和运营表现进行了研究。通过比较收购前两年医院的平均财务表现与1984年和1985年的平均表现,并将被收购医院的表现变化与匹配的独立机构的变化进行比较,研究了系统所有权对被收购医院的影响。研究结果表明,营利性多医院系统能够改善被收购机构的许多财务和运营问题。与独立非营利性医院相比,被收购医院在获得长期债务方面有所增加,对厂房和设备进行了改善,提高了盈利能力,并在更大程度上提高了效率。被收购医院的价格上涨幅度超过独立医院,流动性下降幅度更大。

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引用本文的文献

1
Nonprofit to for-profit conversions by hospitals, health insurers, and health plans.医院、健康保险公司和健康计划从非营利性向营利性的转变。
Public Health Rep. 1999 Mar-Apr;114(2):108-19. doi: 10.1093/phr/114.2.108.
2
The short-term effects of merger on hospital operations.合并对医院运营的短期影响。
Health Serv Res. 1996 Feb;30(6):827-47.