The University of New Mexico, USA.
Health Informatics J. 2020 Sep;26(3):2193-2201. doi: 10.1177/1460458219899827. Epub 2020 Jan 23.
Postoperative complications place a major burden on the healthcare systems. The type of hospital's ownership could be one factor associated with this adverse outcome. Using CMS's publicly available "Complications and Deaths-Hospitals" and "Hospital General Information" datasets, we analyzed the association between four postoperative complications (venous thromboembolism, joint replacement complications, wound dehiscence, postoperative sepsis) and hospital ownership. These data were collected by Medicare between April 2013 and March 2016. We found a significant association ( = 0.029) between ownership types and the postoperative complication score. A 6-percent drop in the share of not-for-profit ownership, accompanied by a 3-percent increase in each of the government and for-profit ownership, resulted in a 20-percent drop in postoperative complication scores (from 5.75 to 4.6). There is an association between hospital ownership type and postoperative complications. Creating this awareness in leadership should prompt for redesigning of hospitals' operations and workflows to become more compatible with safe and effective care delivery.
术后并发症给医疗系统带来了沉重负担。医院的所有权类型可能是与这一不良结果相关的因素之一。我们使用 CMS 公开的“并发症和死亡-医院”和“医院一般信息”数据集，分析了四种术后并发症（静脉血栓栓塞、关节置换并发症、伤口裂开、术后脓毒症）与医院所有权之间的关联。这些数据是由医疗保险在 2013 年 4 月至 2016 年 3 月之间收集的。我们发现所有权类型与术后并发症评分之间存在显著关联（=0.029）。非营利性所有权的份额下降 6%，而政府和营利性所有权的份额分别增加 3%，导致术后并发症评分下降 20%（从 5.75 降至 4.6）。医院所有权类型与术后并发症之间存在关联。领导层应该意识到这一点，促使重新设计医院的运营和工作流程，使其更符合安全有效的护理提供。
