Bazzoli Gloria J, Fareed Naleef, Waters Teresa M
Health Aff (Millwood). 2014 May;33(5):739-45. doi: 10.1377/hlthaff.2013.0988.
The recent recession had a profound effect on all sectors of the US economy, including health care. We examined how private hospitals fared through the recession and considered how changes in their financial health may affect their ability to respond to future industry challenges. We categorized 2,971 private short-term general medical or surgical hospitals (both nonprofit and for-profit) according to their pre-recession financial health and safety-net status, and we examined their operational status changes and operating and total financial margins during 2006-11. We found that hospitals that were financially weak before the recession remained so during and after the recession. The total margins of nonprofit hospitals (both safety-net and other institutions) declined in 2008 but returned to their pre-recession levels by 2011. The recession did not create additional fiscal pressure on hospitals that were previously financially weak or in safety-net roles. However, both groups continue to have notable financial deficiencies that could limit their abilities to meet the growing demands on the industry.
近期的经济衰退对美国经济的各个部门都产生了深远影响，包括医疗保健领域。我们研究了私立医院在经济衰退期间的表现，并考虑了其财务状况的变化可能如何影响它们应对未来行业挑战的能力。我们根据经济衰退前的财务状况和安全网地位，将2971家私立短期综合医疗或外科医院（包括非营利性和营利性）进行了分类，并研究了它们在2006 - 2011年期间的运营状况变化以及运营利润率和总利润率。我们发现，在经济衰退前财务状况不佳的医院，在衰退期间及之后依然如此。非营利性医院（包括安全网医院和其他机构）的总利润率在2008年下降，但到2011年恢复到了衰退前的水平。经济衰退并未给此前财务状况不佳或承担安全网角色的医院带来额外的财政压力。然而，这两类医院仍然存在显著的财务缺陷，这可能会限制它们满足行业不断增长需求的能力。
