McAtee Robin E, Crandall Debra, Wright Larry D, Beverly Claudia J
Donald W. Reynolds Institute on Aging, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
J Am Geriatr Soc. 2009 Jul;57(7):1293-9. doi: 10.1111/j.1532-5415.2009.02314.x. Epub 2009 Jun 3.
Are hospital-based outpatient interdisciplinary clinics a financially viable alternative for caring for our burgeoning population of older adults in America? Although highly popular, with high patient satisfaction rates among older adults and their families, senior health clinics (SHCs) can be expensive to operate, with limited quantifiable health outcomes. This study analyzed three geriatric hospital-based interdisciplinary clinics in rural Arkansas by examining their patient profiles, revenues, and expenses. It closely examined the effects of the downstream revenue using the multiplier effect and acknowledged other factors that weigh heavily on the success of SHCs and the care of older adults. The findings highlight the similarities and differences in the three clinics' operating and financial structures in addition to the clinics' and providers' productivity. The analysis presents an evidence-based illustration that SHCs can break even or lose large amounts of money.
在美国,以医院为基础的门诊跨学科诊所对于照顾日益增多的老年人来说在经济上是否可行?尽管非常受欢迎,老年健康诊所(SHC)在老年人及其家庭中患者满意度很高,但运营成本可能很高,可量化的健康结果有限。本研究通过检查三个位于阿肯色州农村地区、以医院为基础的老年跨学科诊所的患者档案、收入和支出,对其进行了分析。该研究利用乘数效应仔细研究了下游收入的影响,并确认了其他对老年健康诊所的成功以及老年人护理有重大影响的因素。研究结果突出了这三个诊所运营和财务结构的异同,以及诊所和提供者的生产力。该分析提供了一个基于证据的例证,即老年健康诊所可能实现收支平衡,也可能亏损大量资金。