Research was undertaken to determine the effects of hospital ownership, location, and Medicare's prospective payment system (PPS) on inpatient uncompensated care. A nonequivalent group design was used with repeated measures of uncompensated care (UNCC) on 137 system hospitals taken pre- and post-PPS. Investor-owned system hospitals demonstrated the largest increase in UNCC (37 percent) under the PPS. Results suggest that not-for-profit and investor-owned system hospitals are becoming more similar in levels of uncompensated care provided and that the PPS has had a negative effect on rural hospital profitability.

译文

进行了研究,以确定医院所有权,位置和Medicare的预期支付系统 (PPS) 对住院患者无偿护理的影响。在PPS前后采取的137系统医院中,使用了非等效的组设计,并重复进行了无补偿护理 (UNCC)。投资者拥有的系统医院在PPS下显示出最大的UNCC (37%) 增长。结果表明,非营利性和投资者拥有的系统医院在提供的无偿护理水平上变得越来越相似,PPS对农村医院的盈利能力产生了负面影响。

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