Thorpe K E, Spencer C
University of North Carolina, Chapel Hill.
J Health Polit Policy Law. 1991 Summer;16(2):363-81. doi: 10.1215/03616878-16-2-363.
Uncompensated care pools have been used by several states in their attempt to aid hospitals and increase the volume of care provided to patients without health insurance. We examined the uncompensated care pool used in New York State between 1983 and 1987. Our primary interest was to estimate the impact of the pools on the level and type of care provided to uninsured patients. Our results indicate that hospitals responded to the pools by increasing the volume of care provided to uninsured patients. Without the pools, over 30,000 fewer adjusted hospital admissions would have been provided to the uninsured in a typical year. Many of these newly purchased admissions were for "nondiscretionary" medical care, suggesting that beneficial care to the indigent was rationed prior to the introduction of the uncompensated care pools.
几个州利用无补偿医疗资金池来帮助医院，并增加为没有医疗保险的患者提供的医疗服务量。我们研究了1983年至1987年纽约州使用的无补偿医疗资金池。我们的主要兴趣在于估计这些资金池对为未参保患者提供的医疗服务水平和类型的影响。我们的结果表明，医院通过增加为未参保患者提供的医疗服务量来应对这些资金池。如果没有这些资金池，在典型的一年中，为未参保者提供的调整后住院次数会减少超过30000次。许多这些新增加的住院是用于“非自由裁量”的医疗护理，这表明在引入无补偿医疗资金池之前，对贫困者的有益护理是受到限制的。
