医院从COVID-19大流行中恢复不均
Jordan H Rhodes1, Tatiane Santos2, Gary J Young3,4,5
1Maine Department of Health and Human Services, Augusta, ME 04333, United States.
Health affairs scholar
|May 17, 2024
概括
到2021年,医院的运营利率并没有完全恢复,但由于COVID-19救济资金,总利率升了140%,特别是在农村和关键接入医院.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健 财务管理 财务管理
- 公共卫生政策 公共卫生政策
背景情况:
- 在COVID-19大流行期间,医院面临着财务不确定性.
- 了解财务绩效转变对于医疗保健的可持续性至关重要.
- 联邦救援资金对医院财政的影响需要分析.
研究的目的:
- 分析2019年至2021年美国医院运营和总利的变化.
- 确定哪些医院类型经历了最显著的财务变化.
- 评估政府救援资金在医院财务复苏中的作用.
主要方法:
- 使用的医院费用报告数据来自医疗保险和医疗补助服务中心 (CMS).
- 对比了2019年,2020年和2021年的运营和总利率数据.
- 按医院类型进行细分分析,包括农村,公共运营和关键接入医院.
主要成果:
- 到2021年,营业利率尚未完全恢复到2019年的水平,但从2020年的低点上有所改善.
- 2019年至2021年期间,医院平均总利率增加了140%.
- 农村医院的总利增加了1600%;公开运营和关键接入医院也取得了显著的收益.
结论:
- 政府的救济资金显著改善了医院的整体财务状况.
- 援助资金不成比例地受益于较小,经济脆弱的医院,提高了他们的总利率.
- 调查结果强调了紧急财政支持在危机期间维持医院运营的关键作用.
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