Moscovice I, Johnson J, Finch M, Grogan C, Kralewski J
School of Public Health, University of Minnesota, Minneapolis 55455.
J Rural Health. 1991 Fall;7(5):575-88.
Rural hospital consortia are relatively new organizations that have been developed to help improve the viability of participating hospitals. This paper describes the characteristics of rural hospital consortia in the United States and develops and tests a measurement model of their underlying structure. The measurement model, which characterized consortia structure in terms of degree of member commitment, degree of complexity, scale of operations, and degree of formalization, provided a good fit to the sample data. Most consortia appear to have followed a relatively conservative course that involved the development of programs that had limited sensitivity and financial risk for individual hospitals. This suggests that rural hospital consortia may not become a model for major structural change in the rural health care system. Future research should examine the evolution of rural hospital consortia from an organizational life cycle perspective.
农村医院联盟是为帮助提高参与医院的生存能力而发展起来的相对较新的组织。本文描述了美国农村医院联盟的特征，并开发和测试了其潜在结构的测量模型。该测量模型从成员承诺程度、复杂程度、运营规模和形式化程度等方面对联盟结构进行了刻画，与样本数据拟合良好。大多数联盟似乎都采取了相对保守的路线，即开发对个别医院敏感性和财务风险有限的项目。这表明农村医院联盟可能不会成为农村医疗系统重大结构变革的典范。未来的研究应该从组织生命周期的角度审视农村医院联盟的演变。
