物理治疗服务的医生所有权. 对费用,利用率,利和服务特征的影响
1Department of Economics, Florida State University, Tallahassee.
JAMA
|October 21, 1992
概括
医生拥有的物理治疗设施增加了患者的访问,费用和利. 然而,他们提供较少的直接护理时间从许可治疗师每次访问,引起关注的付款人和决策者.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 物理治疗管理 物理治疗管理
- 医生自我推研究 研究
背景情况:
- 医生对医疗保健设施的所有权可以影响服务利用率和成本.
- 了解金融激励对医疗保健服务的影响对于政策制定至关重要.
研究的目的:
- 评估医生拥有独立物理治疗和康复设施的影响.
- 评估物理治疗治疗对使用,费用,利和服务特征的影响.
主要方法:
- 在佛罗里达州,医生合资企业拥有的和非拥有的独立物理治疗和综合康复设施之间进行了统计比较.
- 1989年,根据立法任务,从118个物理治疗和63个康复设施收集了数据.
- 关键的结果指标包括每位患者的访问,每位患者的收入,经营收入,增值,利和每次访问的治疗师时间.
主要成果:
- 合资企业设施的患者访问量增加了39-45%,每个患者的收入增加了30-40%.
- 医生拥有的设施报告了显著更高的营业收入和标记百分比.
- 在非合资机构的许可治疗师每次与患者访问的时间大约增加了60%.
结论:
- 物理治疗设施的医生所有权与使用率,费用和利的增加有关.
- 服务质量,以获得许可的治疗师每次访问的时间来衡量,在医生拥有的设施中似乎减少了.
- 这些发现对医疗行业,第三方付款人和决策者来说都很重要,因为它们涉及到医生自我推安排.
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