从2018年到2020年,加利福尼亚临终关怀院的所有权发生变化:空间分析和案例说明
Heather A Davis1, Christy Torkildson2, Lisa C Lindley3
1Health Policy Post-Doctoral Research Fellow, College of Nursing University of Tennessee, Knoxville, Knoxville, TN, USA.
The American journal of hospice & palliative care
|June 14, 2024
概括
加利福尼亚医院经历了复杂的所有权转移,主要是由营利性实体推动的. 关于这些变化的有限的公共数据阻碍了对宿舍护理的知情决策.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
背景情况:
- 加利福尼亚州的住院最近面临着巨大的所有权变化.
- 这些所有权转移对宿舍服务的影响在很大程度上仍未得到审查.
- 了解这些转变对于终身护理的利益相关者来说至关重要.
研究的目的:
- 描述2018年至2021年期间加利福尼亚州住院所有权变化的性质和程度.
- 分析经历了所有权变化的住院的特点.
- 确定导致这些所有权动态的因素.
主要方法:
- 采用了纵向的,追溯的描述性研究设计.
- 来自加利福尼亚家庭卫生机构和宿舍年度利用报告的公开数据被利用.
- 用描述性统计数据分析了临终关怀的特点,所有权变化和空间数据.
主要成果:
- 在研究期间,加利福尼亚州住院的所有权变化显著而复杂.
- 利性组织进入加利福尼亚临终关怀市场的数量显著增加.
- 由于有限的企业财务披露和自愿报告,关于营利性临终关怀所有权的最终,全面的公共数据很少.
结论:
- 利性组织的涌入使加利福尼亚州的临终关怀场景变得复杂.
- 缺乏可访问的,全面的所有权数据阻碍了提供者和家庭的知情选择.
- 这项研究强调了临床实践,研究和宿舍护理政策的关键影响,特别是对于儿科患者.
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