血管外科手术的巩固趋势
Terry P Gao1, Lawrence Oresanya1, Rebecca L Green1
1Department of General Surgery, Temple University Lewis Katz School of Medicine, Philadelphia, PA.
Journal of vascular surgery
|November 12, 2023
概括
血管外科实践正在巩固,在2015年至2020年期间,小规模或单独实践显著下降,较大群体的增加. 这一趋势表明血管外科手术市场集中度增加.
科学领域:
- 卫生政策 卫生政策
- 外科实践管理的管理.
- 卫生经济学 卫生经济学
背景情况:
- 实践整合在外科专业中是一个日益增长的趋势.
- 这种趋势对血管外科手术的影响以前没有被研究过.
研究的目的:
- 检查美国血管外科的实践巩固趋势.
- 分析从2015年到2020年实践规模和市场度的变化.
主要方法:
- 2015年和2020年利用的医疗保险提供者注册,链条和所有权系统数据.
- 将实践分类为单人,小,中,大团体.
- 计算了Hirfendahl-Hirshman指数 (HHI) 来衡量市场整合.
主要成果:
- 血管提供者增加了7.7%,而实践人数减少了19.3%.
- 大型实践增长了49.4%,而小型或个人实践则下降了42.1%.
- 用HHI衡量的市场整合在城市和农村地区显著增加.
结论:
- 血管外科手术显示出一个明显的趋势,即更大规模的实践小组.
- 血管外科手术的市场整合在2015年至2020年间明显增加.
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