近年来,加利福尼亚州的收容所经历了重大而复杂的所有权变化。关于这些所有权变更对临终关怀的影响知之甚少。我们纵向的目的,回顾性描述性研究旨在描述影响加利福尼亚州2018年至2021年临终关怀医院的所有权变化。使用描述性统计数据,我们利用加州家庭健康机构和临终关怀年度利用报告的公开数据,测量了有或没有所有权变更的临终关怀医院的特征.所有权变化特征是通过公开的临终关怀提供者和设施数据进行测量的。还通过公开的纬度和经度数据测量了空间特征。我们的研究结果表明,所有权的变化是显著和复杂的。营利性组织涌入加州市场是这些变化的主要原因。此外,缺乏公司财务公开披露和自愿临终关怀认证,认证,报告导致缺乏自由,公开可用,关于营利性临终关怀所有权的明确综合数据。这阻碍了有关收容所的信息收集和提供者/家庭选择。我们的研究提供了对所有权变更的影响和缺乏确定性的关键见解,免费,关于加州成人收容所照顾儿童的公开信息,具有重要的临床意义,研究,和政策影响。
Hospices in California have undergone significant and complicated ownership changes in recent years. Little is known about the impact of these ownership changes on hospices. The purpose of our longitudinal, retrospective descriptive study was to describe the ownership changes impacting hospices 2018 to 2021 in California. Using descriptive statistics, we measured characteristics of hospices with and without ownership changes employing public data from the California Home Health Agencies and
Hospice Annual Utilization Report. Ownership change characteristics were measured via publicly available
hospice provider and facility data. Spatial characteristics were additionally measured via latitude and longitude publicly available data. Our findings showed that ownership changes were significant and complicated. An influx of for-profit organizations into the California market was primarily responsible for these changes. Additionally, lack of corporate financial public disclosure and voluntary
hospice accreditation, certification, and reporting result in a lack of free, publicly available, definitive comprehensive data on for-profit
hospice ownership. This hinders information gathering on and provider/familial choice-making regarding hospices. Our study provides critical insight into the impact of ownership changes and lack of definitive, free, publicly available information on adult hospices in California caring for children and has important clinical, research, and policy implications.