Harrison Jeffrey P
Health Administration Program, University of North Florida College of Health, Jacksonville, FL, USA.
J Health Care Finance. 2006 Spring;32(3):28-38.
This quantitative research study assesses the organizational characteristics, market factors, and profitability of US hospitals that operate joint ventures with other health care organizations. Data was obtained from the 2001 American Hospital Association annual survey, the Area Resource File, and the Center for Medicare and Medicaid Services Minimum Data Set. These data files provide essential information on individual acute care hospitals, the communities they serve, and the level of financial performance. Descriptive statistics were evaluated and a logistic regression model was utilized to examine hospitals operating joint ventures. The study found hospitals that operate joint ventures are located in communities with more elderly patients, lower unemployment, and lower HMO penetration. From an operating performance perspective, hospitals that operate joint ventures have a higher occupancy rate, a higher average length of stay, more clinical services, lower long-term debt, and a greater number of managed care contracts. The results also appear to indicate that joint ventures have a positive financial impact on US hospitals. The study has managerial implications supporting the use of joint ventures to improve hospital performance and policy implications on resource allocation.
这项定量研究评估了与其他医疗保健组织开展合资企业的美国医院的组织特征、市场因素和盈利能力。数据来自2001年美国医院协会年度调查、区域资源文件以及医疗保险和医疗补助服务中心的最小数据集。这些数据文件提供了关于各急性护理医院、它们所服务的社区以及财务绩效水平的基本信息。评估了描述性统计数据，并使用逻辑回归模型来研究开展合资企业的医院。研究发现，开展合资企业的医院位于老年患者较多、失业率较低且健康维护组织渗透率较低的社区。从运营绩效角度来看，开展合资企业的医院入住率更高、平均住院时间更长、临床服务更多、长期债务更低且管理式医疗合同数量更多。结果似乎还表明，合资企业对美国医院有积极的财务影响。该研究具有支持利用合资企业改善医院绩效的管理意义以及关于资源分配的政策意义。
