了解美国私募股权拥有的HHA:与私募和非私募机构之间的绩效比较
1Assistant Professor, Computer Information Systems, Thomas More University, KY, USA.
Health policy (Amsterdam, Netherlands)
|January 23, 2025
概括
私募股权拥有的家庭医疗机构 (HHAs) 显示出更好的短期患者改善,但在长期护理质量方面落后. 这凸显了私募股权所有制下的护理方面的潜在权衡.
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
- 卫生经济学 卫生经济学
背景情况:
- 医疗保健领域的私募股权 (PE) 投资正在增加,特别是在家庭医疗机构 (HHA).
- 有关PE所有权对护理质量和患者结果的影响存在担忧.
- 企业拥有的HHA代表了美国家庭医疗保健市场的日益增长的部分.
研究的目的:
- 为了比较PE所拥有的HHA与非PE所拥有的机构的业绩.
- 评估PE所有权对护理质量,患者结果和运营效率的影响.
- 通过使用医疗保险认证的HHA数据来评估差异.
主要方法:
- 对医疗保险和医疗补助服务中心 (CMS) 家庭健康比较数据集 (2017-2023) 的分析.
- 评估了14个不同的质量和结果措施.
- 应用非参数统计测试 (曼-惠特尼U,克里夫斯三角形) 进行组比较.
主要成果:
- 公立医院拥有的医院在及时启动护理方面表现优异,患者在移动性和自我护理方面获得了优势.
- 相反,PE拥有的HHA在药物坚持,可预防的再入院和社区出院率方面表现较差.
- 在多个质量和长期结果指标中观察到显著差异.
结论:
- 拥有HHA的PE与提高效率和短期患者改善有关.
- 在关键的长期护理指标中表现不佳,引发了人们对持续护理质量的担忧.
- 政策制定者需要监测PE的影响,以平衡效率增长与患者福祉.
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
871
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
871
01:17Healthcare Agencies II
678
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
678
01:18Healthcare Agencies I
699
Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
699
01:30Health Information Technology and Healthcare Information System
798
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:
798
01:28Hospitals-I
790
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...
790
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K