与临床综合网络参与相关的医院特征
Emily L Hague1, Timothy T Brown, Amanda Brewster
1University of California, Berkeley, School of Public Health, Berkeley, CA.
Medical care
|June 14, 2023
概括
超过三分之一的医院参与临床综合网络 (CIN). 与独立实践协会 (IPA),医生医院组织 (PHO) 和负责任的护理组织 (ACO) 的医院关联与CIN参与有关.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 医院和医生组织的整合往往无法改善临床整合或患者的结果.
- 联邦监管机构支持临床综合网络 (CIN) 协调医院和医生.
- 现有的医院关联,如IPA,PHO和ACO,可能有助于CIN参与,但缺乏经验证据.
研究的目的:
- 量化医院参与CIN的情况.
- 检查与CIN参与相关的因素,特别是医院组织的附属性.
- 分析IPA,PHO和ACO会员关系与CIN参与之间的关系.
主要方法:
- 来自2019年美国医院协会调查数据的分析 (n=4405).
- 在CIN中医院参与的量化.
- 多变量后勤回归模型用于评估医院附属和CIN参与之间的关联,控制市场和医院特征.
主要成果:
- 2019年,34.6%的医院参与了CIN.
- 较大,非营利性和大都市医院的CIN参与率更高.
- 与非参与者相比,CIN中的医院更有可能拥有IPA,PHO和ACO的附属机构.
结论:
- 超过三分之一的医院参与CIN,尽管对其价值的证据有限.
- 参与CIN可能是由有利于整合的组织规范驱动的.
- 需要进一步的研究来完善CIN参与的定义,并区分重叠的组织参与.
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