农村急诊医院:适应和社区认知的新兴模式
Anders Van Sandt1, Kaitlyn Line2, Anja Gruber3
1Department of Agricultural and Resource Economics, Colorado State University, Fort Collins, Colorado, USA.
农村紧急医院 (REH) 指定为陷入困境的农村医院提供了经济利益,允许他们放弃住院服务. 然而,社区的怀疑可能会限制该计划在维持农村医疗保健准入方面的成功.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生政策 农村卫生政策
- 医疗保健经济学 医疗保健经济学
背景情况:
- 农村医院面临着严重的财务不稳定,威胁到他们的可持续性.
- 农村紧急医院 (REH) 名称于2023年推出,旨在为符合条件的农村设施提供财政支持.
- 这种指定要求医院停止住院服务,同时保持门诊和急诊护理.
研究的目的:
- 为了确定转换为REH状态的医院的特点.
- 评估REH转换对农村社区的影响.
- 了解社区对REH模型的看法.
主要方法:
- 对医疗保险和医疗补助服务中心成本报告数据的分析.
- 转型医院与符合资格的非转型医院的比较.
- 33篇新闻文章的内容分析.
- 与农村居民的电话采访.
主要成果:
- 转型医院通常具有较低的住院患者数量,占用率和收入.
- 关于REH转型的新闻报道基本上是中立的,重点是财务利益.
- 农村居民对当地医疗保健表达了负面看法,并表示不愿使用REHs.
结论:
- REH指定可以为缺乏住院需求的农村医院提供经济救济.
- 对于该政策的长期有效性来说,社区的信任和愿意利用REH至关重要.
- 解决财务可行性和社区信心的问题对于维持农村医疗保健的准入至关重要.
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