农村和城市医院关闭的区别在哪里以及是什么?
Sara D Turbow1,2, Jennifer Lom1, Mohammed K Ali2,3
1Department of Medicine, Division of General Internal Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Journal of hospital medicine
|June 19, 2024
概括
关闭的大都市医院更有可能是以营利为目的,并且在没有扩大医疗补助的州. 这些发现凸显了针对性政策的必要性,以防止关闭并保护患者获得护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医院管理 医院管理
- 公共卫生政策 公共卫生政策
背景情况:
- 关于导致大都市医院关闭的风险因素的研究有限.
- 鉴于近期城市地区的高调关闭,了解这些因素至关重要.
研究的目的:
- 确定关闭的大都市医院的特点.
- 将封闭的大都市医院与开放的大都市医院以及封闭的农村/小城市医院进行比较.
- 使用纵向数据检查与大都市医院关闭相关的因素.
主要方法:
- 利用美国医院协会2010年至2021年的年度调查数据.
- 独立验证的医院关闭状态.
- 采用双变量统计和后勤回归来分析与关闭相关的医院特征.
主要成果:
- 已关闭的大都会医院 (n=142) 显著更有可能以营利为目的 (66.9%与29.7%相比).
- 没有医疗补助扩张的州的医院也更容易关闭 (45.1%对29.4%).
- 营利性状态 (AOR:3.05) 和非医疗补助扩张状态 (AOR:1.66) 是关闭的重要预测因素.
结论:
- 大都市医院的关闭与营利性地位和缺乏医疗补助扩张有关.
- 建议制定有针对性的政策,以确定有风险的大都市医院.
- 需要采取缓解策略,以应对关闭对患者和医疗保健提供者的影响.
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