在COVID-19公共卫生紧急情况期间,美国医院财务业绩的变化
Risha Gidwani1,2, Cheryl L Damberg1
1RAND Corporation, Santa Monica, California.
JAMA health forum
|July 14, 2023
概括
虽然COVID-19救济基金增加了医院的财政,但差距仍然存在. 服务于西班牙裔人口的医院面临着日益严重的财务困境,突出了持续监测的必要性,以确保患者获得护理.
科学领域:
- 卫生经济学 卫生经济学
- 医院的财务管理,医院的财务管理.
- 公共卫生政策 公共卫生政策
背景情况:
- COVID-19公共卫生紧急情况 (PHE) 显著改变了医院运营,但其对财务业绩的净影响仍然不清楚.
- 了解这些金融转变对于保持医疗保健的准入和稳定至关重要.
研究的目的:
- 评估COVID-19 PHE之前和期间医院财务业绩的变化.
- 在紧急情况下确定影响财务困境的因素.
主要方法:
- 从2017年到2021年,对4223家美国医院进行了纵向队列分析.
- 评估带有和没有COVID-19救济资金的净营业收入.
- 后勤回归和两部分模型,以确定金融困境和救援资金的预测因素.
主要成果:
- 大多数医院 (74.8%) 在2020/2021年报告了积极的净营业收入,中位数的营业利率达到6.5%的历史新高.
- 然而,46.3%的医院在被排除在COVID-19救援资金之外时经历了财务困境.
- 服务于西班牙裔人口比例较高的医院更有可能经历财务困境 (aOR,1.3;P=.02).
结论:
- 虽然COVID-19救济基金在很大程度上改善了医院的财务表现,但观察到显著的差异.
- 服务于西班牙裔人口的医院面临着不成比例的更糟糕的财务结果,即使在计算救援资金后.
- 持续监测医院的财务状况至关重要,以确保患者在救援资金结束时获得公平的护理.
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