Needleman J, Lamphere J, Chollet D
Harvard School of Public Health, Boston, USA.
Health Aff (Millwood). 1999 Jul-Aug;18(4):125-33. doi: 10.1377/hlthaff.18.4.125.
Hospital conversions to for-profit ownership have prompted concern about continuing access to care for the poor or uninsured. This DataWatch presents an analysis of the rate of uncompensated care provided by Florida hospitals before and after converting to for-profit ownership. Uncompensated care declined greatly in the converting public hospitals, which had a significant commitment to uncompensated care before conversion. Among converting nonprofit hospitals, uncompensated care levels were low before conversion and did not change following conversion. The study suggests that policymakers should assess the risk entailed in a conversion by considering the hospital's historic mission and its current role in the community.
医院转变为营利性所有制引发了人们对穷人或未参保者能否持续获得医疗服务的担忧。本《数据观察》对佛罗里达州医院转变为营利性所有制前后提供的无偿医疗服务比率进行了分析。在转变的公立医院中,无偿医疗服务大幅下降,这些医院在转变前对无偿医疗服务有重大投入。在转变的非营利性医院中,转变前无偿医疗服务水平较低,转变后也没有变化。该研究表明,政策制定者应通过考虑医院的历史使命及其在社区中的当前作用来评估转变所带来的风险。