与私募股权收购相关的医院不良事件和患者结果的变化
Sneha Kannan1,2,3, Joseph Dov Bruch4, Zirui Song3,5,6
1Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Boston.
JAMA
|December 26, 2023
概括
医院的私募收购增加了患者的伤害, 这些发现引发了对私募股权对医疗保健质量和患者安全的影响的担忧.
科学领域:
- 医疗服务研究
- 健康经济学
- 患者安全
背景情况:
- 私募股权对美国医院临床质量和患者结果的影响尚不清楚.
- 之前的研究还没有全面评估PE获得对医院获得的不良事件和患者的结果的影响.
研究的目的:
- 调查美国医院的私募股权收购与医院获得的不良事件和住院结果的变化之间的联系.
- 提供有关PE医院护理质量和患者安全的见解.
主要方法:
- 使用2009-2019年医疗保险A部分索赔数据进行的比较研究.
- 使用事件研究,差异设计,将51个获得PE的医院与259个匹配的对照医院进行了比较.
- 根据患者和医院的特征进行调整,以评估在医院获得的疾病,患者组合以及死亡率和再入院等结果.
主要成果:
- 患PE与住院病例增加了25.4%,包括跌倒病例增加了27.3%和中枢线相关的血液感染病例增加了37.7%.
- 尽管手术容量减少,但在PE医院手术部位感染的数量却翻了一番.
- 发育前期医院的住院时间较短,离院后的转移较多,住院死亡率略有下降,离院后30天没有持续.
结论:
- 医院的私有股权收购与医院获得的不良事件,特别是跌倒和感染的显著增加有关.
- 患者人口结构的变化和转移的增加可能部分解释短期死亡率的变化.
- 这些发现强调了私有股权对医疗保健和患者安全的影响.
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