shokoladnitsaa wrote:Вот типа...
The fact that certain tendency prevails for teaching hospitals , in some extent, could be explained by teaching hospitals' clinical research. It could have an impact on the hospitals' priorities in certain surgeries (even without medical nessesity).
Possible rates' decrease starting from 2009 might be caused by teaching hospital clinical research process slow down because of the grants’ cuts (due to the recession ).
little rates' increase from 2009 thru 2011 could be caused by Health care Insurance company orientation to Medicaid service (CMS audit might have an impact on the numbers.Therefore it
would be reasonable to compare Medicad vs. Commercial service sector percentage in order to check an influence).
The clinical research conducted at teaching hospitals may partially explain the trends/ growing tendecies at hospital priorities of certain surgeries sometimes performed out of medical nessesity.
From 2009 we have observed the decrease at surgical activity rates as a result of slowdown in clinical reserch secondary to grat's cuts effected by recession.
Mild increase at surgical activity rates between 2009 and 2011 is most likely related to changes at Health Care Insurance company practice, which in turn closely tied to transformation of Medicaid program. CMS audit also might impact on the these numbers.
Therefore, comparison of Medicaid rates with commercial insurance rates could shed light on their relationships with surgical activity rates at teaching hospitals.
Можно было бы сделать лучше, если б Вы объяснили, что именно хотите выразить