2019-2023年安全网卫生中心应收账户日数趋势
Nicole Cook1, Matthew W H Jones, Rae L Crist
1Author Affiliations: Research Department, OCHIN Inc., Portland, Oregon (Dr Cook, Jones, Crist, McGrath, and Goueth); LifeLong Medical Care, Berkely, California (Nishiike); and Center for Community Health Integration, Case Western Reserve University, Cleveland, Ohio (Bindas and Stange).
社区卫生中心通过改善2019年至2023年的应收账户 (AR) 日表现出财务性. 大型医疗中心和医疗补助扩张州的医疗中心在疫情后的经济状况通常更好.
科学领域:
- 医疗服务研究
- 健康经济学
- 公共卫生政策
背景情况:
- 社区卫生中心对于缺乏服务的人群至关重要.
- 这些中心面临的金融不稳定是一个持续的挑战,COVID-19大流行使其变得更加严重.
研究的目的:
- 分析COVID-19大流行对社区卫生中心的财务影响.
- 评估五年 (2019-2023) 的应收账户趋势.
主要方法:
- 月度和年度应收账单 (AR) 数据的分析.
- 包括来自美国81个社区卫生中心的数据.
- 涵盖2019年至2023年的纵向研究设计.
主要成果:
- 从2019年的49.8日增加到2023年的47.5日.
- 大型医疗中心的AR日数减少得更大.
- 没有保险的患者数量较少的中心出现了AR的增加.
- 医疗补助扩张州的诊所保持了财务稳定,而非扩张州则经历了AR波动.
结论:
- 在疫情期间,社区卫生中心表现出了财务性.
- 诸如中心规模,保险组合和州医疗补助政策等因素影响了财务表现.
- 对于服务于低保险人口或位于非医疗补助扩张州的中心,可能需要有针对性的财务策略.
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