在COVID-19大流行的前两年,医院的财务状况:来自华盛顿州医院的证据
Advances in health care management
|January 23, 2024
概括
COVID-19严重影响了医院财务,特别是安全网 (SN) 和关键接入 (CAH) 医院. 虽然2021年利率有所改善,但SN医院在财务上仍然脆弱.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- COVID-19 疫情给全球医院带来了前所未有的财务挑战.
- 服务于弱势群体的医院,如安全网 (SN) 和关键接入 (CAH) 医院,预计将面临严重的财务压力.
- 了解不同类型医院的不同财务影响对于有针对性的支持至关重要.
研究的目的:
- 检查和比较SN医院,CAH和其他急症护理医院在COVID-19大流行 (2020-2021) 的前两年运营利的变化.
- 确定对所观察到的财务业绩变化有助于变化的因素 (收入和支出).
- 突出特定医院类别的持续的财务脆弱性.
主要方法:
- 对华盛顿州2019年,2020年和2021年急症医院运营利数据的分析.
- 医院的分类:安全网 (SN) 医院,临界接入医院 (CAH) 和其他急症医院.
- 对比这些类别在特定时期的财务业绩趋势.
主要成果:
- 从2019年到2020年,所有医院类别的运营利率都下降了,SN和CAH医院的下降幅度最为显著.
- 2021年,运营利率与2020年相比,在所有类别中都出现了改善.
- 尽管情况有所改善,但SN医院在2021年继续报告负运营利.
- 收入波动和费用变化都影响了观察到的营业利率趋势.
结论:
- 在所有医院类型中,COVID-19流行病的财务影响并不均,不成比例地影响了SN和CAH医院.
- 在疫情的前两年,SN医院表现出持续的财务脆弱性.
- 该研究强调了医院利能力因素的动态性质,以及对脆弱医疗保健提供者的持续财务监测和支持的需要.
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