Bazzoli G, Andes S
Hospital Research and Educational Trust, Chicago, IL 60606, USA.
Hosp Health Serv Adm. 1995 Winter;40(4):472-95.
This study identifies a group of financially distressed hospitals and tracks them over time to identify the consequences of their financial distress and the factors that may precipitate different events. Of 2,547 that supplied complete financial data to the American Hospital Association for the period 1983-1985, a total of 340 community hospitals met our definition for distress. The most striking finding is that 91.2 percent of hospitals that were distressed in 1983-1985 survived through the end of 1990. Distressed hospitals also had significantly higher rates of system acquisition and merger, as well as higher rates of system divesture. Growing competition in a market appeared to be a major factor in the closure of a distressed hospital. The results of this study suggest that financially distressed hospitals have a remarkable resiliency that allows them to continue operation without dramatic change. This may be good news to local community officials concerned about maintaining financially weakened hospitals. Alternatively, it may be bad news if poor financial performance is a signal of unneeded capacity.
本研究识别出一组财务困境医院，并对其进行长期跟踪，以确定财务困境的后果以及可能引发不同事件的因素。在1983年至1985年期间向美国医院协会提供完整财务数据的2547家医院中，共有340家社区医院符合我们对困境的定义。最显著的发现是，在1983年至1985年陷入困境的医院中，91.2%存活至1990年底。困境医院被系统收购和合并的比率也显著更高，以及系统剥离率也更高。市场竞争加剧似乎是困境医院关闭的一个主要因素。这项研究的结果表明，财务困境医院具有显著的恢复能力，使其能够在没有重大变革的情况下继续运营。这对于关心维持财务状况不佳医院的当地社区官员来说可能是个好消息。或者，如果财务表现不佳是产能过剩的信号，那可能就是个坏消息。
