Arrington B, Haddock C C
Center for Health Services Education and Research, St. Louis University Medical Center, MO 63104.
Health Serv Res. 1990 Jun;25(2):291-304.
In a Harvard Business Review (1987) article, Herzlinger and Krasker suggested that not-for-profit hospitals do not return more benefit to society than do for-profit hospitals, and the authors questioned the legitimacy of social subsidization of not-for-profits. Our article reports findings from an empirical reconsideration of the question, "Who profits from nonprofits?" We used hospital data from the same time period (1982) as that used by Herzlinger and Krasker; however, our investigation analyzed a larger data set (including both system and nonsystem hospitals) and used a different statistical technique (discriminant analysis). Our findings suggest that not-for-profits return more social benefit (e.g., in the areas of services provided, access to care, and involvement in professional education) than do for-profits. Like Herzlinger and Krasker, we find that for-profit hospitals may be more efficient than not-for-profits. We caution that public policy regarding social subsidization of not-for-profit hospitals should be made only after more intensive study and thoughtful consideration.
在《哈佛商业评论》（1987年）的一篇文章中，赫茨林格和克拉斯克指出，非营利性医院给社会带来的益处并不比营利性医院更多，作者们对非营利性医院获得社会补贴的合理性提出了质疑。我们的文章报告了对“谁从非营利组织中获利？”这一问题进行实证重新考量后的结果。我们使用了与赫茨林格和克拉斯克相同时间段（1982年）的医院数据；然而，我们的调查分析了一个更大的数据集（包括系统医院和非系统医院），并使用了不同的统计技术（判别分析）。我们的研究结果表明，非营利性医院比营利性医院能带来更多的社会效益（例如，在提供的服务、医疗可及性以及参与专业教育等方面）。与赫茨林格和克拉斯克一样，我们发现营利性医院可能比非营利性医院更具效率。我们提醒，关于非营利性医院社会补贴的公共政策，应在经过更深入的研究和慎重的考虑之后再制定。
