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州立医院费率设定对资本形成的影响。

Impact of State hospital rate setting on capital formation.

作者信息

Cromwell J

出版信息

Health Care Financ Rev. 1987 Spring;8(3):69-82.

Abstract

For this article, a new national data base of Medicare's cost reports on more than 2,000 hospitals is used to measure the impact of State prospective rate setting on capital formation. Several investment measures are analyzed, both in nominal and real terms, using a combination of descriptive and multivariate techniques. Results indicate that, over the last decade, State hospital rate-setting programs have had little demonstrable effect on capital formation and they have not caused any significant aging of plant assets. Programs in both New York and Massachusetts were found to be associated with a slowing in the rate of bed growth, however, resulting in significant long-term cost savings.

摘要

在撰写本文时,我们使用了一个新的全国医疗保险成本报告数据库,该数据库涵盖了2000多家医院,用于衡量州预期费率设定对资本形成的影响。我们运用描述性和多变量技术,对若干名义和实际投资指标进行了分析。结果表明,在过去十年中,州医院费率设定计划对资本形成几乎没有明显影响,也没有导致固定资产显著老化。不过,纽约和马萨诸塞州的计划与床位增长速度放缓有关,从而带来了显著的长期成本节约。

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本文引用的文献

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Hospital cost inflation under state rate-setting programs.州费率设定计划下的医院成本通胀。
N Engl J Med. 1980 Sep 18;303(12):664-8. doi: 10.1056/NEJM198009183031203.
6
Hospital capital formation in the 1980s: is there a crisis?20世纪80年代医院的资本形成:是否存在危机?
J Health Polit Policy Law. 1983 Spring;8(1):164-72. doi: 10.1215/03616878-8-1-164.
7
State rate-setting programs. Do they reward efficiency in hospitals?
Med Care. 1984 May;22(5):494-8. doi: 10.1097/00005650-198405000-00012.
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State rate setting: an analysis of some unresolved issues.州费率设定:对一些未解决问题的分析
Health Aff (Millwood). 1983 Summer;2(2):36-47. doi: 10.1377/hlthaff.2.2.36.
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The impact of certificate-of need controls on hospital investment.
Milbank Mem Fund Q Health Soc. 1976 Spring;54(2):185-214.
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Reimbursement for capital costs.
Top Health Care Financ. 1979 Fall;6(1):127-39.

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