Finkler S A, Knickman J R, Hanson K L
Robert F. Wagner Graduate School of Public Service, New York University 10012.
Hosp Health Serv Adm. 1994 Spring;39(1):117-31.
This article presents findings from a national demonstration program to improve the long-term financial viability of small not-for-profit primary care health centers. The program initiatives and their implementation are described in some detail. A standard pre/post study design was used to measure the impact of the initiatives on general outcome measures, financial ratios, and the utilization of management techniques. Overall, demonstration centers showed improvement over the study period. Notable short-term improvements included significant growth in the volume of patient visits and increased profit. Observed changes also revealed an increased use of sophisticated management techniques, expected to positively affect longer-term financial health. The findings suggest that improving the financial viability of health centers need not be expensive.
本文介绍了一项全国示范项目的成果，该项目旨在提高小型非营利性基层医疗保健中心的长期财务生存能力。文中详细描述了该项目的举措及其实施情况。采用了标准的前后研究设计，以衡量这些举措对总体成果指标、财务比率和管理技术运用的影响。总体而言，示范中心在研究期间有所改善。显著的短期改善包括患者就诊量大幅增长和利润增加。观察到的变化还显示，先进管理技术的使用有所增加，预计这将对长期财务健康产生积极影响。研究结果表明，提高医疗保健中心的财务生存能力并不一定需要高昂成本。
