对医院质量指标与财务绩效之间的关联进行探索性分析
Brad Beauvais1, Diane Dolezel2, Zo Ramamonjiarivelo1
1School of Health Administration, Texas State University, Encino Hall, Room 250A, 601 University Drive, San Marcos, TX 78666, USA.
Healthcare (Basel, Switzerland)
|October 28, 2023
概括
提高医院质量是经济上可持续的. 这项研究发现,提高质量措施与增加医院利能力有显著的关联,支持对患者护理和安全的投资.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 医院管理局 医院管理局
背景情况:
- 医院面临着提高医疗保健质量和确保财务偿付能力的双重挑战.
- 医院高管仍然担心质量改善举措的财务可持续性.
- 关于质量提升努力与医院利能力之间的直接关系的研究有限.
研究的目的:
- 研究医院质量改善措施与医院利能力之间的关联.
- 为医院高管提供基于证据的见解,以了解对质量和患者安全的投资.
主要方法:
- 评估了八种不同的质量指标与医院利能力 (每次调整出院的患者净收入) 之间的关联.
- 使用多变量回归分析来确定统计学意义.
主要成果:
- 在八项质量指标中,有七项显示出与医院利能力有显著的积极关联.
- 关键指标包括HCAHPS总结星级评分,医院比较整体评分和全病因全医院再接收率.
- 质量改进与每次调整后出院的患者净收入更高相关.
结论:
- 对医院来说,投资于医疗保健质量和患者安全是经济上有利的.
- 专注于护理质量和患者的看法可以提高医院的利能力和财务状况.
- 解决质量问题对于减轻美国医院的财务损失至关重要.
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