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首页> 外文期刊>Inquiry: a journal of medical care organization, provision and financing >Has Price Competition Changed Hospital Revenues and Expenses in New York?:
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Has Price Competition Changed Hospital Revenues and Expenses in New York?:

机译：价格竞争是否改变了纽约的医院收入和支出？：

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摘要

This study analyzes the factors that influenced hospital expenses and revenues prior to and following the enactment of the New York State Health Care Reform Act of 1996 (HCRA)a??the period from 1994a??1999. HCRA was expected to encourage price competition which in turn was anticipated to lower hospital revenues and expenses. We measured the differential effects on hospital revenues and expenses in markets with varying degrees of competition. We also measured the relationship between hospital revenues and expenses and the increased concentration resulting from the formation of local hospital systems. We found that revenues and expenses both grew more slowly for hospitals located in more competitive markets; hospital systems that increased concentration tended to have higher revenues. In the short run at least, price competition induced by HCRA did constrain both hospital expense and revenue growth, although the increase in hospital mergers countered this trend.
机译：这项研究分析了在颁布1996年《纽约州医疗保健改革法案》（1994年至1999年）之前和之后影响医院支出和收入的因素。预计HCRA会鼓励价格竞争，从而降低医院的收入和支出。我们测量了竞争程度不同的市场对医院收支的不同影响。我们还测量了医院收入与支出之间的关系，以及因当地医院系统的形成而导致的集中度提高。我们发现，位于竞争激烈的市场中的医院的收入和支出增长均较慢。集中度提高的医院系统往往具有更高的收入。至少在短期内，由HCRA引发的价格竞争确实限制了医院费用和收入增长，尽管医院合并的增加抵消了这一趋势。

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