一个更新的农村医院财政困难的模型
Tyler L Malone1, George H Pink1,2, George M Holmes1,2
1North Carolina Rural Health Research Program, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
概括
一个新的模型准确地预测了农村医院的财务困境,识别了那些面临关闭或财务不稳定风险最高的医院. 该工具有助于积极监测和支持脆弱的医疗保健设施.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 农村卫生政策 农村卫生政策
背景情况:
- 农村医院面临着重大的财务挑战,影响了医疗保健的获取.
- 农村医疗保健系统的不利性需要早期干预的预测工具.
研究的目的:
- 开发和验证农村医院金融困境的预测模型.
- 确定导致该行业金融不稳定的关键因素.
主要方法:
- 利用来自2311个农村医院 (2013-2019) 的14116个年度观察数据集.
- 员工财务绩效,报销,组织和市场数据.
- 将数据划分为训练和测试集,用于模型验证.
主要成果:
- 该模型实现了0.87的接收器运行特征曲线 (AUC) 下的面积,证明了强大的预测能力.
- 最高风险组:61.57%经历了负现金流,43.02%负股权,3.33%在两年内关闭.
- 最低风险组:最小的负现金流 (5.78%),负股权 (1.50%) 和没有关闭.
结论:
- 开发的金融危机模型为农村医院提供了可靠的查工具.
- 它可以帮助研究人员,政策制定者和倡导者识别和支持处于风险的设施.
相关概念视频
Health Information Technology and Healthcare Information System
809
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
809
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Hospitals-I
797
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
797
Specialized Care Centers and Settings-II
717
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
717
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K


