Correlates of Price Transparency for Healthcare Services in United States Hospitals.
Correlates of Price Transparency for Healthcare Services in United States Hospitals.
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DOI：
10.2147/ceor.s378475
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发表时间：
2022
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本研究的目的是调查预测美国医院价格透明度的人口统计学和医院特征。我们确定了6214家医院，并使用美国医院协会年度调查提取了每家医院的特征，以及从Turquoise Health数据集中选择的具有代表性的常用手术和就诊的现金价格。使用描述性统计来确定合规率和价格变化，并使用泊松回归模型计算价格透明度预测因子的发生率比（IRR）和95%置信区间（CI）。医院的价格透明度合规率从13%到49%不等，跨中心比率从244.8到4789.0不等。医院床位数量与更多服务的价格透明度存在边际相关（内部比：1.01 [95% CI: 1.01 - 1.02]）；相比之下，位于美国南部（IRR: 0.91 [95% CI: 0.87-0.96]）或西部（IRR: 0.94 [95% CI: 0.90-0.99]）地区与较少服务的透明度相关。较小的医院以及位于南部和西部地区的医院不太可能遵守医疗保健和医疗服务系统关于医院标准收费价格透明度的规定。此外，医院网站上价格透明度目录的可用性差，限制了信息的获取，破坏了透明度的努力。
The purpose of this study is to investigate demographic and hospital characteristics that predict hospital price transparency in the United States. We identified 6214 hospitals and extracted characteristics of each using the American Hospital Association Annual Survey, as well as cash prices for a representative selection of commonly performed procedures and visits from the Turquoise Health dataset. Descriptive statistics were used to determine compliance rates and price variation, and a Poisson regression model was used to calculate incidence rate ratios (IRR) and 95% confidence intervals (CI) for predictors of price transparency. Price transparency compliance ranged from 13% to 49% of hospitals, and across-center ratios ranged from 244.8 to 4789.0. Number of hospital beds was marginally associated with price transparency for more services (IRR: 1.01 [95% CI: 1.01–1.02]); in contrast, location in the Southern (IRR: 0.91 [95% CI: 0.87–0.96]) or Western (IRR: 0.94 [95% CI: 0.90–0.99]) regions of the US was associated with transparency for fewer services. Smaller hospitals as well as those located in the South and West regions were less likely to be compliant with the CMS mandate for price transparency for hospital standard charges. Additionally, the poor usability of price transparency directories on hospital websites limits information access and undermines transparency efforts.