美国健康股权评级. 烧伤中心 - - 营利性的地位是否重要?
Nada Rizk1, Danielle Rochlin1, Clifford C Sheckter1,2
1Department of Surgery, Stanford University, 770 Welch Road #400, Palo Alto, CA 94304, USA.
概括
安全网烧伤中心提供最公平的护理,而营利中心提供最少的护理. 这项研究强调了资金如何影响烧伤治疗中的健康公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 烧伤护理管理管理
- 卫生公平研究 卫生公平研究
背景情况:
- 卫生公平是医疗保健系统设计中的一个关键问题.
- 烧伤不成比例地影响弱势群体,需要公平的护理.
- 燃烧中心的融资模式各不相同 (安全网,营利性),对股权结果的影响不清楚.
研究的目的:
- 调查烧伤中心融资模式与健康公平之间的关系.
- 测试安全网设施实现比营利性中心更高的健康公平的假设.
主要方法:
- 来自美国烧伤协会所有2022年烧伤中心的数据被整理.
- 安全网状态,营利性状态和健康公平评级是从国家数据集中提取的.
- 比较统计和顺序逻辑回归分析了各中心的股票评级.
主要成果:
- 安全网中心获得了最高的股权评级 (73.1%的评级为A),而营利中心的得分最低 (14.3%的评级为A).
- 安全网中心比非安全网中心具有最高股权评分的可能性是21.8倍 (P < .001).
- 与非营利性中心相比,营利性中心获得A级的几率下降了80% (P = .04).
结论:
- 与其他融资模式相比,安全网燃烧中心表现出优越的健康公平结果.
- 营利性融资结构可能与不太公平的烧伤护理服务相关.
- 烧伤中心必须在患者分拣和管理策略中优先考虑健康公平.
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