《患者保护与平价医疗法案》对疗养院的连锁反应：在资金流中畅游还是溺亡？

Ripple effects of PPS on nursing homes: swimming or drowning in the funding stream?

作者信息

Swan J H, de la Torre A, Steinhart R

机构信息

Health Care Administration, California State University, Long Beach 90840.

出版信息

Gerontologist. 1990 Jun;30(3):323-31. doi: 10.1093/geront/30.3.323.

DOI:10.1093/geront/30.3.323

PMID:2113024

Abstract

In a sample of 189 nursing homes, 83% reported that Medicare's hospital Prospective Payment System (PPS) impacts patient needs, 53% said it impacts both patients and services provided, and 25% said it impacts referrals to hospitals. The PPS effects were found to depend on the facility factors of size, Medicare certification, and tax status, and on the local market area factors of prevalence of PPS-nonexcluded hospital psychiatric units, competition, and levels of hospital discharges.

摘要

在189家疗养院的样本中，83%的机构报告称医疗保险的医院预期支付系统（PPS）影响患者需求，53%的机构表示它对患者和所提供的服务都有影响，25%的机构称其影响转院至医院的情况。研究发现，PPS的影响取决于机构规模、医疗保险认证和税收状况等机构因素，以及PPS非排除性医院精神科病房的患病率、竞争和医院出院水平等当地市场区域因素。