预期支付前后的未补偿医疗服务：医院位置与所有权的作用
Uncompensated care before and after prospective payment: the role of hospital location and ownership.
作者信息
Hultman C I
机构信息
Department of Veterans Affairs, Hines VA Hospital, IL 60141.
出版信息
Health Serv Res. 1991 Dec;26(5):613-22.
Research was undertaken to determine the effects of hospital ownership, location, and Medicare's prospective payment system (PPS) on inpatient uncompensated care. A nonequivalent group design was used with repeated measures of uncompensated care (UNCC) on 137 system hospitals taken pre- and post-PPS. Investor-owned system hospitals demonstrated the largest increase in UNCC (37 percent) under the PPS. Results suggest that not-for-profit and investor-owned system hospitals are becoming more similar in levels of uncompensated care provided and that the PPS has had a negative effect on rural hospital profitability.
开展了一项研究，以确定医院所有权、位置以及医疗保险的预期支付系统（PPS）对住院未补偿医疗的影响。采用了非等效组设计，对137家系统医院在PPS实施前后的未补偿医疗（UNCC）进行了重复测量。在PPS下，投资者所有的系统医院的UNCC增幅最大（37%）。结果表明，非营利性和投资者所有的系统医院在提供的未补偿医疗水平上正变得越来越相似，并且PPS对农村医院的盈利能力产生了负面影响。
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