医院行业联邦游说的模式
Olivia Korostoff-Larsson1, Caroline Shore1, Lauren A Taylor1,2
1Department of Population Health, NYU Grossman School of Medicine, New York, New York.
JAMA health forum
|March 13, 2026
概括
医院通过联邦游说活动显著影响美国的卫生政策,在2024年将花费超过1.16亿美元. 资源丰富的组织,特别是大型卫生系统,集中这些支出,可能会限制公平的政策影响.
科学领域:
- 卫生政策研究 卫生政策研究
- 游说活动与政治学
- 医疗保健经济学 医疗保健经济学
背景情况:
- 医院是美国卫生政策的关键参与者,但与其他医疗保健部门相比,它们的学术重点较小.
- 了解医院联邦游说活动对于评估它们对卫生政策的影响至关重要.
- 2024年的研究考察了医院,卫生系统和协会的游说活动.
研究的目的:
- 分析2024年医院行业的联邦游说活动.
- 调查支出模式和内部与外部游说者的利用情况.
- 确定医院部门内的游说支出集中情况.
主要方法:
- 一个描述性的,横截面研究,利用2024年联邦游说披露数据从OpenSecrets.
- 包括所有被归类为医院或医院协会的组织,报告联邦游说活动.
- 分析了组织类型 (非营利性,营利性,私募股权) 和游说支出的数据.
主要成果:
- 355个与医院相关的组织在2024年报告了116.13亿美元的联邦游说支出.
- 医院和卫生系统占70.56亿美元,大型系统的支出往往超过协会.
- 几乎所有组织都使用了外部游说者,游说活动集中在资源丰富的实体中.
结论:
- 医院和附属组织是联邦卫生政策游说的重要参与者.
- 游说的影响力似乎集中在资源丰富的组织中,特别是大型医疗系统.
- 这些模式表明医院如何影响联邦政策制定的潜在不平等.
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