公立医院的私有化：其对财务绩效的影响。

The Privatization of Public Hospitals: Its Impact on Financial Performance.

作者信息

Ramamonjiarivelo Zo, Weech-Maldonado Robert, Hearld Larry, Pradhan Rohit, Davlyatov Ganisher K

机构信息

Texas State University, San Marcos, TX, USA.

University of Alabama at Birmingham, Birmingham, AL, USA.

出版信息

Med Care Res Rev. 2020 Jun;77(3):249-260. doi: 10.1177/1077558718781606. Epub 2018 Jun 26.

DOI:10.1177/1077558718781606

PMID:29944073

Abstract

This study examined the effects of public hospitals' privatization on financial performance. We used a sample of nonfederal acute care public hospitals from 1997 to 2013, averaging 434 hospitals per year. Privatization was defined as conversion from public status to either private not-for-profit (NFP) or private for-profit (FP) status. Financial performance was measured by operating margin (OM) and total margin (TM). We used hospital level and year fixed effects linear panel regressions with nonlagged independent and control variables (Model 1), lagged by 1 year (Model 2), and lagged by 2 years (Model 3). Privatization to FP was associated with 17% higher OM (Model 2) and 9% higher OM (Model 3), compared with 3%, 4%, and 6% higher OM for privatization to NFP for all three Models, respectively. Privatization to FP was associated with 7% higher TM (Model 2) and privatization to NFP was associated with 2% higher TM (Model 3).

摘要

本研究考察了公立医院私有化对财务绩效的影响。我们选取了1997年至2013年的非联邦急症护理公立医院样本，每年平均有434家医院。私有化定义为从公共状态转变为私立非营利（NFP）或私立营利（FP）状态。财务绩效通过营业利润率（OM）和总利润率（TM）来衡量。我们使用了医院层面和年份固定效应线性面板回归，自变量和控制变量不滞后（模型1）、滞后1年（模型2）以及滞后2年（模型3）。与三种模型中向NFP私有化分别带来3%、4%和6%的营业利润率提高相比，向FP私有化在模型2中与营业利润率提高17%相关，在模型3中与营业利润率提高9%相关。向FP私有化与总利润率提高7%（模型2）相关，向NFP私有化与总利润率提高2%（模型3）相关。