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急性心肌梗死治疗后医院所有制选择对患者预后的影响。

The effect of hospital ownership choice on patient outcomes after treatment for acute myocardial infarction.

作者信息

Shen Yu-Chu

机构信息

Health Policy Center, The Urban Institute, Washington, DC 20037, USA.

出版信息

J Health Econ. 2002 Sep;21(5):901-22. doi: 10.1016/s0167-6296(02)00058-9.

Abstract

I examine the effect of ownership choice on patient outcomes after the treatment for acute myocardial infarction. I find that for-profit and government hospitals have higher incidence of adverse outcomes than not-for-profit hospitals by 3-4%. In addition, the incidence of adverse outcomes increases by 7-9% after a not-for-profit hospital converts to for-profit ownership, but there is little change in patient outcomes in other forms of ownership conversion. The findings are robust, whether I use the entire sample or subsamples of hospitals that share similar hospital and market characteristics.

摘要

我研究了急性心肌梗死治疗后所有权选择对患者预后的影响。我发现,营利性医院和政府医院的不良预后发生率比非营利性医院高出3%-4%。此外,非营利性医院转变为营利性所有权后,不良预后的发生率增加了7%-9%,但在其他形式的所有权转变中,患者预后几乎没有变化。无论我使用整个样本还是具有相似医院和市场特征的医院子样本,研究结果都是可靠的。

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