新墨西哥州农村医院对预期支付的反应。
Responses to prospective payment by rural New Mexico hospitals.
作者信息
Smith H L, Piland N F, Phillipp A M
机构信息
Anderson School of Management, University of New Mexico, Albuquerque 87131.
出版信息
Health Serv Res. 1991 Dec;26(5):547-81.
A cross-sectional study is used to determine how rural New Mexico hospitals altered service diversification, inpatient service emphasis, and service promotion during Medicare's prospective payment system (PPS) transition and posttransition phases. Results suggest that the hospitals implemented distinct strategies in response to PPS. The posttransition strategies were examined for their association with improved revenue and utilization indicators. Few of the service diversification and promotional strategies were consistent predictors of performance. Emphasis on fine-tuning inpatient services was the most promising predictor of higher utilization and revenue measures. The implications for other rural hospitals are discussed.
一项横断面研究旨在确定新墨西哥州的农村医院在医疗保险的前瞻性支付系统（PPS）过渡阶段和过渡后阶段是如何改变服务多样化、住院服务重点以及服务推广的。结果表明，医院针对PPS实施了不同的策略。研究考察了过渡后策略与收入和利用率指标改善之间的关联。很少有服务多样化和推广策略是绩效的一致预测指标。强调对住院服务进行微调是更高利用率和收入指标最有前景的预测指标。文中还讨论了对其他农村医院的启示。
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