澳大利亚私立医院的财务可行性:系统性审查
Grzegorz Brylski1, Shaun Larkin1, Andrew Wilson1
1Leeder Centre for Health Policy, Economics and Data (The Leeder Centre), Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2042, Australia.
概括
由于支付问题和所有权压力,澳大利亚私立医院面临财务脆弱. 提高价格透明度和支付模式对于系统性能和弹性至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 卫生政策 卫生政策
背景情况:
- 澳大利亚的医疗保健系统是公共和私人提供者的混合体.
- 私立医院在提供服务方面发挥着重要作用.
- 了解私立医院的财务可行性是整体系统绩效的关键.
研究的目的:
- 综合澳大利亚关于影响私立医院财务可行性的因素的证据.
- 探索私人医院财务状况对更广泛的医疗保健系统的影响.
主要方法:
- 进行了以PRISMA为指导的系统审查.
- 搜索的数据库包括PubMed,MEDLINE,Embase,Scopus和EconLit. 这三种数据库.
- 通过专题分析,综合了来自23个符合条件的出版物的数据.
主要成果:
- 关键主题包括支付/定价问题,所有权结构 (营利性,私募股权),保险激励,服务线漏洞 (产妇,相关健康),以及消费者选择和公私重叠的影响.
- 分散的费用表和自付费用削弱了价格信号.
- 企业所有权和利压力影响资本配置和谈判权.
结论:
- 私立医院部门是有价值的,但在经济上很脆弱.
- 建议包括提高价格透明度,改革支付模式,以价值为基础的原则,加强公私伙伴关系.
- 优先事项包括收集有关土著健康的数据,改善结果与价格的联系.
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