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农村医院的无偿护理最高,特别是在非扩张国家
Emmaline Keesee1, Susie Gurzenda1, Kristie Thompson1
1University of North Carolina at Chapel Hill, USA.
Medical care research and review : MCRR
|November 18, 2023
概括
农村医院面临更高的无偿护理费用,特别是在非医疗补助扩张州. 这种金融压力影响了利能力和关闭风险,而非扩张地区的趋势正在恶化.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 农村卫生 农村卫生
背景情况:
- 无偿护理严重影响医院的财务状况,尤其对农村设施构成风险.
- 了解无偿护理的驱动因素对于医疗保健政策和金融稳定至关重要.
研究的目的:
- 分析2019年各州医院无偿护理百分比,考虑医疗补助扩张状态和农村分类.
- 将2019年无偿护理数据与2014年农村医院数据进行比较,检查医疗补助扩展时间的影响.
主要方法:
- 2019年和2014年医院财务数据的比较分析.
- 按农村与城市分类和州级医疗补助扩展状态对数据的分层.
- 基于医疗补助扩展实施的时间表,对无偿护理趋势的审查.
主要成果:
- 2019年,农村医院的无偿护理 (3.81%) 比城市医院 (3.12%) 高.
- 没有扩大医疗补助的州报告了与扩张州 (2.55%) 相比,无偿护理 (6.28%) 的大幅增加.
- 从2014年到2019年,农村无偿护理在非扩张州增加,而后期扩张州的减少最为显著.
结论:
- 医疗补助扩展状态是农村医院无偿护理水平的关键决定因素.
- 与医疗补助扩张相关的政策似乎影响了农村医疗保健设施的财务可行性.
- 在非扩张国家的农村医院可能需要有针对性的财政支持和政策干预.
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