Poor people and poor hospitals: implications for public policy.
Poor people and poor hospitals: implications for public policy.
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穷人和贫穷的医院：对公共政策的影响。
DOI：
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发表时间：
1984
影响因子：
4.2
通讯作者：
R. Mullner
中科院分区：
文献类型：
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作者：
J. Feder;J. Hadley;R. Mullner
1980年，虽然大多数医院的财务状况都相当不错，但大量为穷人服务的医院却面临着相当大的财务困难风险。全国不到9%的医院为穷人提供了全国40%的医疗服务。这些医院几乎有一半位于100个最大的城市，它们不仅比其他医院更多地为穷人提供医疗服务，而且为私人保险患者提供服务的比例也要小得多。结果是，这些医院中的三分之一--它们自己占了所有穷人护理的15%以上--在1980年出现了赤字。本文利用1980年对非联邦非营利性医院的调查数据，研究了大量为穷人服务的医院的财政状况。分析表明，造成这些医院财务问题的是收入不足，而不是效率低下或使用不足。文章最后评估了可以采取的几项政策，以减轻这种财政压力和维持照顾穷人。
In 1980, while most hospitals were in reasonably good financial health, hospitals heavily involved in serving the poor ran a considerable risk of financial trouble. Fewer than 9 percent of the nation's hospitals accounted for 40 percent of the nation's total care to the poor. These hospitals, almost half of which were in the 100 largest cities, not only devoted more of their care to the poor than other hospitals, they also served substantially smaller proportions of privately-insured patients. The result was that one-third of these hospitals--by themselves accounting for over 15 percent of all care to the poor--ran deficits in 1980. Using data from a 1980 survey of nonfederal, nonprofit hospitals, this paper examines the fiscal situation of hospitals heavily involved in serving the poor. The analysis shows that it is insufficient revenues, not inefficiency or underuse, that creates these hospitals' financial problems. The article concludes with an assessment of several policies that could be adopted to alleviate this financial pressure and sustain care to the poor.