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一种新的基于模型的方法来估计农村医院市场
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
一种新方法通过识别代表至少50%的医院患者数量的邮政编码来定义农村医院市场. 这种方法有助于理解金融困境和关闭影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生政策 农村卫生政策
- 医疗保健市场分析 分析
背景情况:
- 定义农村医院服务区是复杂的.
- 准确的市场定义对于政策和财务评估至关重要.
- 现有的方法可能无法完全捕捉农村环境中的患者流动.
研究的目的:
- 引入一种用于划定农村医院市场的新方法.
- 提供数据驱动的方法,以了解患者聚集区.
- 支持对农村医院可行性和社区影响的研究.
主要方法:
- 使用医疗保健费用报告信息系统 (HCRIS) 数据用于医院选择.
- 雇员条件逻辑回归与2019年医疗保险服务费 (FFS) 索赔数据.
- 通过汇总邮政编码来定义市场,直到医院患者数量的50%被捕获.
主要成果:
- 平均农村医院市场包括3个邮政编码,服务约37,221人.
- 在这些市场中,Medicare FFS受益者的平均数量为5385,占29%的市场份额.
- 拥有较少床位,员工或与系统无关的医院的估计市场人口较小.
结论:
- 已经建立了一个新的,有效的方法来定义农村医院市场.
- 这种方法可以为有关农村医院财务健康的政策决策提供信息.
- 这种方法有助于识别受农村医院关闭影响最脆弱的人群.
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