美国医院私募股权收购后患者护理经验的变化
Anjali Bhatla1,2, Victoria L Bartlett1,3, Michael Liu1,4
1Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
JAMA
|January 9, 2025
概括
私募股权收购对美国医院的患者体验产生了负面影响. 关键指标如整体评级和推意愿在收购后有所下降, 引发了对护理质量的担忧.
科学领域:
- 医疗服务研究
- 健康经济学
- 患者的结果
背景情况:
- 美国医疗保健机构的私募股权 (PE) 收购急剧增加,但它们对患者护理体验的影响仍未得到充分研究.
- 鉴于PE参与医疗保健的日益增长趋势,了解这些影响至关重要.
研究的目的:
- 评估美国医院的PE获取是否与患者报告的体验指标的变化有关.
- 为了比较患者在获得的医院与匹配的非获得的对照医院的经验.
主要方法:
- 一项队列研究采用差异设计,分析了来自73个PE获得的和293个对照的美国医院的数据 (2008-2019).
- 用医院消费者对医疗保健提供者和系统 (HCAHPS) 调查数据评估患者的经验,重点关注全球评级和推意愿,从获得前3年到获得后3年.
主要成果:
- 与对照医院相比,患有PE的医院的整体医院评级 (-2.4个百分点) 和推意愿 (-2.1个百分点) 显著下降.
- 这些全球患者体验指标的负面趋势随着时间的推移而扩大,在获取后的第三年变得最明显.
- 在患有PE的医院中,患者报告的医院工作人员反应率也有所下降,而其他临床和环境测量没有显著的差异变化.
结论:
- 在美国医院的私募股权收购后,患者护理经验明显恶化.
- 这些发现表明私募股权对美国医疗保健系统的患者护理质量和经验可能产生负面影响.
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