Chen Hsueh-Fen, Bazzoli Gloria J, Hsieh Hui-Min
Department of Health Management and Policy, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, TX 76107, USA.
Atl Econ J. 2009 Sep 1;37(3):259-277. doi: 10.1007/s11293-009-9183-9.
Increases in hospital financial pressure resulting from public and private payment policy may substantially reduce a hospital's ability to provide certain services that are not well compensated or are frequently used by the uninsured. The objective of this study is to examine the impact of hospital financial condition on the provision of these unprofitable services for the insured and uninsured. Economic theory provides the conceptual underpinnings for the analysis, and a longitudinal empirical analysis is conducted for an eight-year study period. The results indicate that not-for-profit hospitals with strong financial performance provide more unprofitable services for the insured and uninsured than do not-for-profit hospitals with weaker condition. For-profit hospital provision of these services is not influenced by their financial condition and instead may reflect actions to meet community expectations or to offer a sufficiently broad service array to maintain the business of insured patients.
公共和私人支付政策导致的医院财务压力增加，可能会大幅降低医院提供某些补偿不足或未参保者经常使用的服务的能力。本研究的目的是检验医院财务状况对为参保者和未参保者提供这些无利可图服务的影响。经济理论为该分析提供了概念基础，并针对八年的研究期进行了纵向实证分析。结果表明，财务表现强劲的非营利性医院比财务状况较弱的非营利性医院为参保者和未参保者提供更多无利可图的服务。营利性医院提供这些服务不受其财务状况的影响，反而可能反映出满足社区期望或提供足够广泛的服务项目以维持参保患者业务的行动。
