从2000年到2019年,医院资产的增长是如何解释的? 一个分解分析分析
Stephanie Teeple1, Caroline Andy2, William L Schpero2,3
1Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, United States.
Health affairs scholar
|February 7, 2025
概括
美国医院的总资产从2000年到2019年翻了一番,主要受益于富有的医院. 大多数增长源于未测量的因素,而不是患者收入,突出了财富差异.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健融资 医疗保健融资
- 医疗服务研究 医疗服务研究
背景情况:
- 了解医院的财务差异对于公平的医疗保健至关重要.
- 总资产,包括金融和资本资源,是医院财富的一个研究不足的方面.
研究的目的:
- 评估2000年至2019年美国医院总资产的变化和变化驱动因素.
- 确定导致资产变化的初级水平 (医院,医疗系统或市场).
- 检查与医院资产增长相关的因素.
主要方法:
- 利用了来自医疗保险和医疗补助服务中心和美国医院协会年度调查的数据.
- 不同级别的总资产的分解变化.
- 分析了资产增长与普通财富投入或未测量的因素之间的关联.
主要成果:
- 在2000年至2019年期间,美国医院总资产从7500亿美元增加到1.6万亿美元.
- 大多数资产变化发生在个别医院之间,财富集中持续.
- 大多数资产增长归因于未测量的因素,而不是患者收入.
结论:
- 医院的财富,以总资产来衡量,随着时间的推移而显著增加.
- 资产增长不成比例地使已经富裕的医院受益,加剧了差距.
- 决策者应该考虑对医院财富的综合测量,并改进融资数据.
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