美国精神病医院中的私募股权
Morgan C Shields1, Yuanyuan Yang1, Susan H Busch2
1Brown School, Washington University in St Louis, St Louis, Missouri.
JAMA psychiatry
|May 21, 2025
概括
精神病医院的私募股权 (PE) 所有权正在增加. 虽然PE所有设施的员工人数较少,但它们的质量结果相似或更好,这表明需要扩大质量措施.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 精神病医疗服务质量 精神病医疗服务质量
背景情况:
- 医疗保健领域的私募股权 (PE) 投资正在增加,但其对精神病医院质量的影响仍未得到充分研究.
- 在住院精神病诊所中,患者的脆弱性需要清楚地了解所有权效应.
研究的目的:
- 分析2013-2021年美国精神病医院PE所有权趋势.
- 检查PE所有权与医院人员和质量指标之间的联系.
主要方法:
- 使用行业和网络来源创建了PE拥有的精神病医院的新型数据集.
- 使用回归模型,对87家PE所拥有的医院和530家非PE所拥有的医院进行横截面比较.
- 分析包括617家参与医疗保险的医院的员工比例和质量指标,如限制使用和再入院率.
主要成果:
- 截至2021年,美国14.1%的精神病医院属于PE公司,主要位于美国南部.
- 职业教育所有权与较低的注册护士和医疗社会工作者人事比例相关.
- 企业所有设施的质量指标有所改善,包括限制使用的减少和30天再接收率的降低.
结论:
- 精神病医院中PE所有权正在迅速扩大.
- 尽管员工人数较少,但基于当前的措施,PE拥有的设施没有显示出质量较低的证据.
- 需要提高质量指标,包括患者经验,以充分评估PE拥有的精神病医院的护理.
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