公众对美国营利性,非营利性和公共医院的看法
Lauren A Taylor1, Berkeley Franz2,3, Amanda Zink1
1Department of Population Health, New York University Grossman School of Medicine, New York, NY 10016, United States.
Health affairs scholar
|May 17, 2024
概括
非营利性医院的地位似乎与患者的选择无关,这挑战了合同失败理论. 公共医院是首选的,患者难以确定所有权,质疑非营利组织的免税.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健经济学 医疗保健经济学
- 消费者行为 消费者行为
背景情况:
- 非营利性医院受到合同失败理论的辩护,这表明它们无法分配利可以确保患者免受剥削.
- 这一理论认为,在信息不对称的市场上,非营利组织至关重要.
研究的目的:
- 调查合同失败理论作为非营利性医院的理由的有效性.
- 评估医院所有权地位对患者决策和偏好的相关性.
主要方法:
- 调查了2569名美国成年人关于医院所有权的相关性,偏好 (非营利性,营利性,公共) 和识别准确性.
- 评估了对国家公认和当地医院所有权状况的认识.
主要成果:
- 医院的所有权地位影响了不到30%的受访者护理决策.
- 总体而言,公共医院是最受欢迎的选择.
- 对医院所有权的准确识别很低 (国家医院为30-45%,地方医院为<30%).
结论:
- 合同失败理论目前缺乏经验支持,作为非营利性医院价值的理由.
- 调查结果表明,需要进一步审查非营利性医院的免税政策.
- 患者的意识和决策并没有受到非营利性地位的显著影响.
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