Investor-owned and not-for-profit hospitals. A comparison based on California data.
Investor-owned and not-for-profit hospitals. A comparison based on California data.
复制标题
投资者拥有的非营利性医院。
DOI：
--
复制
发表时间：
1983
影响因子：
158.5
通讯作者：
H. M. Katz
中科院分区：
文献类型：
--
作者：
R. Pattison;H. M. Katz
近年来，投资者拥有的医院管理公司的增长代表了医院行业最引人注目的变化。虽然投资者拥有的连锁店的支持者认为，他们的增长是由于经营效率，批评者认为，这是由于定价和营销战略。利用加州卫生设施委员会提供的数据，我们比较了加州投资者拥有的医院和非营利医院的经济表现。有三个主要的调查结果。首先，在研究期间，无论是病人日还是入院率，营利性医院的成本和收费都高于非营利性医院。第二，营利性连锁店使用积极的营销和定价策略来产生高利润率和增长率。最后，患者的支付者类别并没有根据医院所有权类别而有所不同。我们的结论是，最近的急剧增长的投资者拥有的连锁医院是由于就业的管理策略，非常适合在研究期间的报销制度。由于最近联邦和州报销的变化，许多这些报销最大化战略已经过时。投资者拥有的连锁店是否能够迅速适应这种新的报销环境还有待观察。
The growth of investor-owned hospital-management companies represents the most dramatic change in the hospital industry in recent years. Whereas supporters of investor-owned chains suggest that their growth is attributable to operating efficiencies, critics suggest that it has resulted from pricing and marketing strategies. Using data supplied by the California Health Facilities Commission, we compared the economic performance of investor-owned and not-for-profit hospitals in California. There were three principal findings. First, during the study period both costs and charges were higher in for-profit than in not-for-profit hospitals, measured on the basis of either patient-days or admissions. Second, the for-profit chains have used aggressive marketing and pricing strategies to generate high rates of profitability and growth. Finally, the payer class of patients did not differ specifically according to the hospital-ownership category. We conclude that the recent dramatic growth of investor-owned hospital chains is attributable to the employment of managerial strategies that were well suited to the reimbursement system in effect during the period studied. As a result of recent changes in federal and state reimbursement, many of these reimbursement-maximization strategies have become obsolete. Whether the investor-owned chains will be able to adapt rapidly to this new reimbursement environment remains to be seen.