Shen Yu-Chu
Health Policy Center, Urban Institute, Washington DC 20037, USA.
Inquiry. 2003 Fall;40(3):217-34. doi: 10.5034/inquiryjrnl_40.3.217.
This paper examines the effects of ownership conversions on hospital performance between 1987 and 1998 in areas of financial performance, staffing, capacity, and unprofitable care. Conversions to government and for-profit ownership both increased the profit margin: the former due to rising revenue, and the latter due to reduced operating costs and rising revenue. Hospitals that converted to for-profit ownership had the greatest reduction in staffing relative to other converted hospitals. There was little change in bed capacity after conversion to for-profit status, but some reductions in bed capacity after conversion to government or nonprofit status. No conversion of any kind led to a reduced amount of unprofitable care, but conversion to private ownership (nonprofit and for-profit) increased the probability of trauma center closures.
本文研究了1987年至1998年间所有权转换对医院绩效在财务绩效、人员配置、床位容量和非盈利性医疗等方面的影响。转换为政府所有和转为营利性所有权都提高了利润率：前者是由于收入增加，后者是由于运营成本降低和收入增加。相对于其他转换后的医院，转为营利性所有权的医院人员配置减少最多。转为营利性状态后床位容量变化不大，但转为政府或非营利性状态后床位容量有所减少。任何形式的转换都没有导致非盈利性医疗量的减少，但转为私有制（非营利性和营利性）增加了创伤中心关闭的可能性。
