Gaskin D J
Institute for Health Care Research and Policy, Georgetown University Medical Center, Washington DC 20007, USA.
J Health Econ. 1997 Aug;16(4):397-416. doi: 10.1016/s0167-6296(96)00539-5.
Empirical evidence from New Jersey supports theories of hospitals altruism. From 1987 to 1992, New Jersey reimbursed hospitals for uncompensated care through the Uncompensated Care Trust Fund. The Trust Fund reduced the shadow price of charity care, inducing hospitals to increase their provision of uncompensated care. Hospitals increased inpatient uncompensated care by an average of 14.8% and statewide uncompensated care increased by $360 million during 1987-1990. Empirical evidence suggests that the state effectively addressed the moral hazard problem created by the Trust Fund by auditing uncompensated care and regulating hospital collection procedures.
新泽西州的实证证据支持了医院利他主义理论。1987年至1992年期间，新泽西州通过无偿护理信托基金向医院偿还无偿护理费用。该信托基金降低了慈善护理的影子价格，促使医院增加无偿护理的提供。1987年至1990年期间，医院的住院无偿护理平均增加了14.8%，全州的无偿护理增加了3.6亿美元。实证证据表明，该州通过审计无偿护理和规范医院收款程序，有效解决了信托基金带来的道德风险问题。
