在美国农村医院提供产科服务的财务挑战
Busse Ce1,2, O'Hanlon K1,2, Kozhimannil Kb1,2
1Division of Health Policy and Management, University of Minnesota, Minneapolis, Minnesota, USA.
概括
农村医院面临着运营产科病房的财政和劳动力挑战. 领导层的承诺是维持这些重要服务的关键,尽管经济损失和医生短缺.
科学领域:
- 医疗保健管理局的管理.
- 农村卫生 农村卫生
- 产科 产科 产科 产科 产科
背景情况:
- 农村医院面临着独特的财务压力,运营产科病房.
- 维持产科服务对于农村社区的健康至关重要.
研究的目的:
- 探索农村医院管理人员对经营产科病房的财务背景的看法.
- 识别农村产科服务维持的挑战和策略.
主要方法:
- 采用农村医院管理人员的调查数据 (2021年3月至8月) 进行混合方法研究.
- 分析财务结果,包括一般财务,劳动力和成本.
- 关于金融挑战的开放式答案的主题内容分析.
主要成果:
- 医院关闭产科病房的原因包括医生短缺 (67%),财务损失 (62%) 和高保险成本 (51%).
- 在拥有产科病房的医院中,55%的整体利,但只有41%的病房利.
- 77%的拥有产科服务的医院对未来的护理服务充满信心,强调领导层的承诺.
结论:
- 临床劳动力短缺,高固定成本和出生量下降是农村产科护理的重大财务障碍.
- 维持农村产科服务的战略必须解决较低的出生量和相互关联的财务挑战.
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