Boles K E
Health Serv Res. 1986 Jun;21(2 Pt 1):189-212.
The author develops a theoretical and mathematical model, based on published financial management literature, to describe the cost of capital structure for health care delivery entities. This model is then used to generate the implications of changing the capital cost reimbursement mechanism from a cost basis to a prospective basis. The implications are that the cost of capital is increased substantially, the use of debt must be restricted, interest rates for borrowed funds will increase, and, initially, firms utilizing debt efficiently under cost-basis reimbursement will be restricted to the generation of funds from equity only under a prospective system.
作者基于已发表的财务管理文献,构建了一个理论和数学模型,以描述医疗服务机构资本结构的成本。然后使用该模型来探讨将资本成本报销机制从成本基础转变为预期基础所产生的影响。这些影响包括资本成本大幅增加、债务使用必须受到限制、借款资金利率将会提高,并且最初,在成本基础报销模式下有效利用债务的公司在预期制度下将只能通过股权来筹集资金。