Ashby J L
Prospective Payment Assessment Commission, Washington, DC.
Healthc Financ Manage. 1992 Apr;46(4):66, 68, 70-2 passim.
It is not surprising that costs for uncompensated care are rising dramatically for most hospitals. What generally has not been understood is that uncompensated care costs are rising faster than overall hospital costs, and government subsidies are failing to keep pace. In addition, the unpaid care problem no longer is being shouldered by one specific group. The facilities seeing the greatest increases in expenditures are those not traditionally associated with uncompensated care--small, non-teaching, non-disproportionate care, and suburban hospitals. Finally, a hospital's commitment to care for the uninsured cannot be predicted by any common classification. This information emerged from an analysis conducted by the Prospective Payment Assessment Commission in an effort to develop a basis for devising options to address the uncompensated care problem.
对于大多数医院来说，无偿护理成本急剧上升并不奇怪。但人们普遍没有理解的是，无偿护理成本的增长速度超过了医院总成本的增长速度，而政府补贴却未能跟上步伐。此外，无偿护理问题不再由某一个特定群体承担。支出增长最大的机构是那些传统上与无偿护理无关的机构——小型、非教学型、非提供不成比例护理服务的以及郊区医院。最后，无法通过任何常见分类来预测医院对照顾未参保者的投入。这些信息来自前瞻性支付评估委员会进行的一项分析，旨在为设计解决无偿护理问题的方案奠定基础。
