Hospital Finances and the Quality of Hospital Care

医院财务和医院护理质量

基本信息

批准号：
6732145
负责人：
GLORIA J BAZZOLI
金额：
$ 23.64万
依托单位：
VIRGINIA COMMONWEALTH UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-04-01 至 2005-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6732145
关键词：
cost effectiveness health administration health care cost /financing health care policy health care quality health care service evaluation health economics health insurance health services research tag hospital patient care human data human mortality human tissue medical complication patient care management

项目摘要

DESCRIPTION (based on application?s abstract): The hospital industry in the United States is facing unparalleled financial pressures. Unlike the 1980s, hospitals do not have private payer surpluses to offset constrained payments from Medicare or Medicaid. Nor can they rely on steady growth in Medicare payments to offset reductions in private payer surpluses. As a result, some hospitals may be making tough choices about investments in hospital operations and processes that support high quality patient care, including providing sufficient staff with adequate training to meet patient needs, replacing antiquated equipment, investing in new technology, and providing adequate management and support structures. This study will examine the relationship between hospital financial condition and the quality of care delivered by U.S. hospitals through 5 specific research questions: Research Question 1: How does a hospital?s underlying financial position affect its decisions about resources and processes that are likely to affect the provision of high quality hospital care? Research Question 2: How do these decisions about resources and processes combine with patient characteristics and other factors to influence patient health care quality, including rates of mortality and complication from hospital care? Research Question 3: How do hospital decisions about resources and processes combine with market conditions and other factors to affect the annual financial performance of hospitals? Research Question 4: For hospitals that face limited competition, either due to geography or patient immobility, can more pronounced effects of financial pressures be observed on investments in quality-related resources and processes relative to hospitals in more competitive markets? Research Question 5: How does public policy that affects hospital payments, especially the 1997 Balanced Budget Act and its revisions, influence hospital decisions about quality-related resources and processes and the care their patients receive?

描述（基于申请摘要）：医院行业美国正面临着前所未有的金融压力。与20世纪80年代不同的是，医院没有私人付款人盈余来抵消付款受限来自 Medicare 或 Medicaid。他们也不能依赖医疗保险的稳定增长支付以抵消私人付款人盈余的减少。结果，一些医院可能会在医院运营投资方面做出艰难的选择支持高质量患者护理的流程，包括提供足够的经过充分培训的人员来满足患者的需求，陈旧的设备，投资新技术，并提供足够的管理和支持结构。这项研究将检验这种关系医院财务状况与美国提供的护理质量之间的关系医院通过 5 个具体研究问题：研究问题 1：医院的基本财务状况如何影响其有关资源和流程的决策，而这些决策可能会影响提供高质量的医院护理？研究问题 2：这些有关资源和流程的决策如何与患者特征和其他因素相结合，以影响患者的医疗保健质量、包括医院护理的死亡率和并发症率？研究问题 3：医院如何做出有关资源和流程的决策结合市场行情等因素影响全年医院的财务绩效？研究问题 4：对于由于地理位置或患者流动性而面临有限竞争的医院，与其他地区的医院相比，财务压力对质量相关资源和流程的投资是否会产生更明显的影响？竞争市场？研究问题 5：公共政策如何影响医院支付、尤其是1997年《平衡预算法》及其修订案，对医院产生了影响关于质量相关资源和流程的决策及其关心患者收到？

项目成果

期刊论文数量（7）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Hospital staffing decisions: does financial performance matter?

医院人员配置决策：财务绩效重要吗？

DOI：
发表时间：
2008
期刊：
影响因子：
0
作者：
Zhao, Mei;Bazzoli, Gloria J;Clement, Jan P;Lindrooth, Richard C;Nolin, Joann M;Chukmaitov, Askar S
通讯作者：
Chukmaitov, Askar S

Hospital financial condition and operational decisions related to the quality of hospital care.

医院财务状况和运营决策关系到医院护理质量。

DOI：
发表时间：
2007-04
期刊：
影响因子：
0
作者：
Bazzoli, Gloria J;Clement, Jan P;Lindrooth, Richard C;Chen, Hsueh;Aydede, Sema K;Braun, Barbara I;Loeb, Jerod M
通讯作者：
Loeb, Jerod M

Hospital financial condition and the quality of patient care.

医院财务状况和患者护理质量。