COVID-19：对学术医疗中心的财务压力测试。
COVID-19: Financial Stress Test for Academic Medical Centers.
机构信息
C.C. Colenda is president emeritus, West Virginia University Health System, Morgantown, West Virginia, and dean emeritus, College of Medicine, Texas A&M University Health Sciences, Bryan, Texas.
W.B. Applegate is president and dean emeritus, Wake Forest University Health Sciences, and professor of medicine, geriatrics and gerontology, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
出版信息
Acad Med. 2020 Aug;95(8):1143-1145. doi: 10.1097/ACM.0000000000003418.
The coronavirus (COVID-19) pandemic is having profound effects on the lives and well-being of the world's population. All levels of the nation's public health and health care delivery systems are rapidly adjusting to secure the health infrastructure to manage the pandemic in the United States. As the nation's safety net health care systems, academic medical centers (AMCs) are vital clinical and academic resources in managing the pandemic. COVID-19 may also risk the financial underpinnings of AMCs because their cost structures are high, and they may have incurred large amounts of debt over the last decade as they expanded their clinical operations and facilities. This Invited Commentary reviews existing data on AMC debt levels; summarizes relief provided in the Coronavirus Aid, Relief, and Economic Security Act; and suggests policy options to help mitigate risk.
冠状病毒（COVID-19）大流行正在对世界人口的生活和福祉产生深远影响。美国国家公共卫生和医疗保健服务系统的各个层面都在迅速调整，以确保卫生基础设施的安全，以管理大流行。作为国家的安全网医疗保健系统，学术医疗中心（AMC）是管理大流行的重要临床和学术资源。COVID-19 也可能危及 AMC 的财务基础，因为它们的成本结构很高，而且在过去十年中，随着临床业务和设施的扩大，它们可能已经承担了大量债务。这篇特邀评论回顾了 AMC 债务水平的现有数据；总结了《冠状病毒援助、救济和经济安全法案》中提供的救济；并提出了帮助减轻风险的政策选择。
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