Mick S S, Morlock L L
School of Public Health, University of Michigan, Ann Arbor 48109.
J Rural Health. 1990 Oct;6(4):437-66. doi: 10.1111/j.1748-0361.1990.tb00682.x.
We review 1980s research on American rural hospitals within the context of a decade of increasing restrictiveness in the reimbursement and operating environments. Areas addressed include rural hospital definitions, organizational and financial performance, and strategic management activities. The latter category consists of hospital closure, diversification and vertical integration, swing-bed conversion, sole community provider designation, horizontal integration and multihospital system affiliation, marketing, and patient retention. The review suggests several research needs, including: developing more meaningful definitions of rural hospitals, engaging in methodologically sound work on the effects of innovative programs and strategic management activities--including conversion of the facility itself--on rural hospital performance, and completing studies of the effects of rural hospital closure or conversion on the health of the communities served.
我们在报销和运营环境日益严格的十年背景下，回顾了20世纪80年代对美国农村医院的研究。涉及的领域包括农村医院的定义、组织和财务绩效以及战略管理活动。后一类包括医院关闭、多元化和垂直整合、摇摆病床转换、唯一社区提供者指定、横向整合和多医院系统附属关系、营销以及患者保留。该综述提出了几项研究需求，包括：制定更有意义的农村医院定义；就创新项目和战略管理活动（包括设施本身的转换）对农村医院绩效的影响开展方法合理的研究；完成关于农村医院关闭或转换对所服务社区健康影响的研究。
