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Hospital Financial Conditions and the Provision of Unprofitable Services

机译：医院财务状况和提供无利可图的服务

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摘要

Increases in hospital financial pressure resulting from public and private payment policy may substantially reduce a hospital's ability to provide certain services that are not well compensated or are frequently used by the uninsured. The objective of this study is to examine the impact of hospital financial condition on the provision of these unprofitable services for the insured and uninsured. Economic theory provides the conceptual underpinnings for the analysis, and a longitudinal empirical analysis is conducted for an eight-year study period. The results indicate that not-for-profit hospitals with strong financial performance provide more unprofitable services for the insured and uninsured than do not-for-profit hospitals with weaker condition. For-profit hospital provision of these services is not influenced by their financial condition and instead may reflect actions to meet community expectations or to offer a sufficiently broad service array to maintain the business of insured patients.
机译：由公共和私人支付政策导致的医院财务压力的增加可能会大大降低医院提供某些服务的能力，这些服务得不到很好的补偿或未保险者经常使用。本研究的目的是研究医院财务状况对为被保险人和未保险人提供这些无利可图的服务的影响。经济理论为分析提供了概念基础，并进行了为期八年的研究纵向研究。结果表明，财务状况良好的非营利性医院比状况较差的非营利性医院为被保险人和无保险人提供更多无利可图的服务。营利性医院提供这些服务不受其财务状况的影响，而是可以反映出满足社区期望或提供足够广泛的服务范围以维持被保险患者业务的行动。

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  • 来源
    《Atlantic economic journal》 |2009年第3期|259-277|共19页
  • 作者

    Hsueh-Fen Chen; Gloria J. Bazzoli; Hui-Min Hsieh;

  • 作者单位

    Department of Health Management and Policy, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, TX 76107, USA;

    Department of Health Administration, Virginia Commonwealth University, 1008 East Clay Street, P.O. Box 980203, Richmond, VA 23298-0203, USA;

    Department of Health Administration, Virginia Commonwealth University, 1008 East Clay Street, P.O. Box 980203, Richmond, VA 23298-0203, USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    hospital financial condition; unprofitable services; insured patients; uninsured patients;

    机译：医院财务状况;无利可图的服务;受保病人;未投保的患者;

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