Kralewski J E, Dowd B, Pitt L, Biggs E L
Health Serv Res. 1984 Oct;19(4):479-98.
The performance of contract-managed (CM) hospitals is compared to that of a set of internally managed hospitals matched on a variety of hospital and market area characteristics. The performance of the study hospitals was similar to that of the matches in the years before the onset of contract management. Among 12 performance indicators, only occupancy rates differed significantly in the two samples in the years before contract management. Occupancy rates were lower on average in the hospitals which later became contract managed. During the 3 years following the onset of contract management, the CM hospitals showed no improvement in productive efficiency but did show changes in the way services were priced. The ratio of gross patient revenue to total expense increased significantly in the CM hospitals relative to their matches. This increase also appears to be associated with an increase in net profits in the CM hospitals relative to their matches.
将合同管理（CM）医院的绩效与一组在各种医院和市场区域特征方面相匹配的内部管理医院的绩效进行比较。在合同管理开始前的几年里，研究医院的绩效与匹配医院的绩效相似。在12项绩效指标中，在合同管理前的几年里，两个样本中只有入住率存在显著差异。后来成为合同管理的医院的入住率平均较低。在合同管理开始后的3年里，CM医院在生产效率方面没有改善，但在服务定价方式上确实出现了变化。相对于匹配医院，CM医院的患者总收入与总费用之比显著增加。相对于匹配医院，这种增加似乎也与CM医院净利润的增加有关。
