Luke R D
Medical College of Virginia, Virginia Commonwealth University, Richmond.
Front Health Serv Manage. 1992 Winter;9(2):3-51; discussion 62-3.
Over the past several decades, the hospital industry has been undergoing a major organizational change that has until now been little examined. Local hospital systems (LHSs) are combinations of two or more hospitals that are in the same company and located in or around the same metropolitan areas in this country. This article presents the first detailed examination of the 402 such systems that have been identified to date. LHSs offer great potential for achieving the cost, quality, and access benefits that are often attributable to regional systems. The degree to which LHSs have attained some basic structural features expected of regional systems are examined. Differences are compared within ownership categories. Issues and challenges facing leaders in the field, should they hope to achieve the potential of regional systems, are discussed.
在过去几十年里，医院行业一直在经历一场重大的组织变革，而到目前为止，这场变革几乎没有得到过深入研究。本地医院系统（LHSs）是指同属一家公司且位于本国同一大都市地区或其周边的两家或多家医院的组合。本文首次对迄今已识别出的402个此类系统进行了详细研究。本地医院系统在实现通常归因于区域系统的成本、质量和可及性效益方面具有巨大潜力。研究了本地医院系统在何种程度上具备区域系统所应有的一些基本结构特征。对不同所有权类别的差异进行了比较。讨论了该领域领导者若希望实现区域系统的潜力所面临的问题和挑战。
