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1.
East Mediterr Health J ; 21(6): 381-8, 2015 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-26369996

RESUMO

This study aimed to examine the association between the payer mix and the financial performance of public and private hospitals in Lebanon. The sample comprised 24 hospitals, representing the variety of hospital characteristics in Lebanon. The distribution of the payer mix revealed that the main sources of revenue were public sources (61.1%), out-of-pocket (18.4%) and private insurance (18.2%). Increases in the percentage of revenue from public sources were associated with lower total costs and revenues, but not profit margins. An inverse association was noted between increased revenue from private insurance and profitability, attributed to increased costs. Increased percentage of out of- pocket payments was associated with lower costs and higher profitability. The study provides evidence that payer mix is associated with hospital costs, revenues and profitability. This should initiate/inform discussions between public and private payers and hospitals about the level of payment and its association with hospital sector financial viability.


Assuntos
Economia Hospitalar/estatística & dados numéricos , Administração Financeira de Hospitais/estatística & dados numéricos , Custos Hospitalares , Seguro Saúde/economia , Estudos Transversais , Humanos , Renda/estatística & dados numéricos , Seguro Saúde/estatística & dados numéricos , Líbano , Pessoas sem Cobertura de Seguro de Saúde/estatística & dados numéricos , Modelos Econômicos
2.
East. Mediterr. health j ; 21(6): 381-388, 2015.
Artigo em Inglês | WHO IRIS | ID: who-255108

RESUMO

لقد هدفت هذه الدراسة إلى فحص الارتباط بين خليط الدافعين وبين الأداء المالي للمستشفيات العامة والخاصة في لبنان. ولقد شملت العينة 24 مستشفى تمثل مختلف أنواع المستشفيات في لبنان. فأظهر توزيع خليط الدافعين أن المصادر الرئيسية للإيرادات كانت إما مصادر عامة [%61.1]، أو دفع من الجيب [18.4%]، أو تأمين خاص [18.2%]. وكانت الزيادة في النسبة المئوية للإيرادات من مصادر عامة مرتبطة بانخفاض إجمالي التكاليف والإيرادات، لا بهوامش الربح. كما لوحظ وجود ارتباط عكسي بين زيادة الإيرادات من التأمين الخاص وبين الأرباح، تعزى إلى زيادة التكاليف. وكانت زيادة النسبة المئوية للمدفوعات من الجيب مرتبطة بانخفاض التكاليف وارتفاع الأرباح. إن هذه الدراسة تقدم دليلاً على أن خليط الدافعين يرتبط بتكاليف المستشفيات وإيراداتها وأرباحها. وينبغي أن تسهم هذه النتائج في بدء/إثراء مناقشات بين الدافعين من القطاعين العام والخاص وبين المستشفيات حول مستوى المدفوعات وارتباط ذلك بالجدوى المالية لقطاع المستشفيات


This study aimed to examine the association between the payer mix and the financial performance of public and private hospitals in Lebanon. The sample comprised 24 hospitals, representing the variety of hospital characteristics in Lebanon. The distribution of the payer mix revealed that the main sources of revenue were public sources (61.1%), out-of-pocket (18.4%) and private insurance (18.2%). Increases in the percentage of revenue from public sources were associated with lower total costs and revenues, but not profit margins. An inverse association was noted between increased revenue from private insurance and profitability, attributed to increased costs. Increased percentage of outof-pocket payments was associated with lower costs and higher profitability. The study provides evidence that payermix is associated with hospital costs, revenues and profitability. This should initiate/inform discussions between public and private payers and hospitals about the level of payment and its association with hospital sector financial viability.


La présente étude visait à examiner l'association entre la pluralité des payeurs et la performance financière des hôpitaux publics et privés au Liban. L'échantillon portait sur 24 hôpitaux, représentant la diversité des caractéristiques des établissements au Liban. La répartition des différents payeurs a révélé que parmi lesprincipales sources de revenus figuraient le secteur public (61,1 %), les paiements directs (18,4 %) et les assurances privées (18,2 %). Des augmentations du pourcentage des revenus provenant du secteur public étaient associéesà des coûts et à des revenus totaux plus faibles, mais non toutefois aux marges bénéficiaires. Une association inverse a été observée entre l'augmentation de revenus issus des assurances privées et la rentabilité, attribuée à des coûts plus élevés. Une hausse du pourcentage de paiements directs était associée à des coûts moindres et à une meilleure rentabilité. La présente étude fournit des élèments de preuve montrant que la pluralité de payeurs est associée aux coûts, aux revenus et à la rentabilité des hôpitaux. Cette situation devrait non seulement lancer des discussions entre les payeurs publics et privés et les hôpitaux sur le niveau de paiement et son association à la viabilité financière du secteur hospitalier, mais également contribuer aux débats à ce sujet.


Assuntos
Administração Financeira de Hospitais , Hospitais Privados , Hospitais Públicos , Estudos Transversais , Custos Hospitalares
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