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COVID-19 提供者救援资金按医院特征分配
Michael D Rosko1,2, Kate J Li3, Mona Al-Amin3
1Widener University, Chester, PA, USA.
COVID-19提供者救济基金 (PRF) 的分配有利于安全网和高影响力的医院. 然而,为弱势群体服务的医院和高无偿护理的医院不太可能获得这些关键资金.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 由于COVID-19大流行严重影响了医院的财务状况,需要政府的援助.
- 了解提供者救济基金 (PRF) 的公平分配对于评估医疗保健准入和金融稳定至关重要.
- 之前的分析并没有完全详细说明PRF在不同类型医院的分布模式.
研究的目的:
- 分析2020-2022年美国一般急症护理医院中COVID-19提供者救济基金 (PRF) 的分配模式.
- 确定与接受PRF相关的医院特征以及这些资金占总收入的比例.
- 根据医院类型,患者人口统计和财务脆弱性,研究PRF分布的差异.
主要方法:
- 利用两部分回归模型,分析了来自3886家私立和公立一般急症医院的数据.
- 根据医院的特点,评估了接收PRF的可能性和相对收到的金额.
- 检查了边际影响,以了解特定因素对PRF分配的影响.
主要成果:
- 超过13%的医院没有收到任何PRF.
- 安全网医院和高COVID-19入院 (高影响) 的医院更有可能接受PRF.
- 提供大量无偿护理和服务于黑人或西班牙裔人口较多的地区的医院不太可能获得资金.
- 农村,高影响力,安全网和财务脆弱的医院相对于其总收入,获得了更大的PRF比例.
- 贫困地区的医院获得了更大的比例补贴,而高西班牙裔度地区的医院获得的比例较小.
结论:
- COVID-19 PRF 的分配显示了不平等,一些脆弱的医院类型不太可能接受它们.
- 虽然某些目标医院获得的资金比例较大,但最初的拨款并没有完全满足所有服务不足地区的需求.
- 需要进一步的研究,以确保未来医疗救济基金的公平分配,以减轻健康差异.
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