A Longitudinal Analysis of the Impact of Hospital Service Line Profitability on the Likelihood of Readmission
A Longitudinal Analysis of the Impact of Hospital Service Line Profitability on the Likelihood of Readmission
复制标题
医院服务线盈利能力对再入院可能性影响的纵向分析
DOI：
10.1177/1077558712441085
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发表时间：
2012
影响因子：
2.5
通讯作者：
R. Lindrooth
中科院分区：
文献类型：
--
作者：
A. Navathe;K. Volpp;R. T. Konetzka;M. Press;Jingsan Zhu;Wei Chen;R. Lindrooth
除了报销水平外，护理质量还可能与入院的盈利能力有关。先前的政策改革减少了对各种入学类型的平均盈利能力产生不同影响的付款。作者估计了一个考克斯竞争风险模型，控制出院后死亡的同时风险，以确定患者入院的医院服务线的平均盈利能力是否与30天内再入院的可能性相关。样本包括1997年、2001年和2005年期间来自2,438家综合急症护理医院的12,705,933份医疗保险服务费。没有证据表明平均服务线盈利能力的变化与再入院风险的变化之间存在关联，即使在控制死亡风险的情况下也是如此。这些研究结果令人放心，因为患者入院的盈利能力并不影响再入院率，并且与其他证据一起可能表明再入院并不是院内护理的明确质量指标。
Quality of care may be linked to the profitability of admissions in addition to level of reimbursement. Prior policy reforms reduced payments that differentially affected the average profitability of various admission types. The authors estimated a Cox competing risks model, controlling for the simultaneous risk of mortality post discharge, to determine whether the average profitability of hospital service lines to which a patient was admitted was associated with the likelihood of readmission within 30 days. The sample included 12,705,933 Medicare Fee for Service discharges from 2,438 general acute care hospitals during 1997, 2001, and 2005. There was no evidence of an association between changes in average service line profitability and changes in readmission risk, even when controlling for risk of mortality. These findings are reassuring in that the profitability of patients’ admissions did not affect readmission rates, and together with other evidence may suggest that readmissions are not an unambiguous quality indicator for in-hospital care.
新泽西州的市场改革及其对急性心肌梗死死亡率的影响。
影响因子：
3.4
作者：
Volpp,KevinGM;Williams,SankeyV;Waldfogel,Joel;Silber,JeffreyH;Schwartz,JSanford;Pauly,MarkV
通讯作者：
Pauly,MarkV