Moscovice I, Christianson J, Johnson J, Kralewski J, Manning W
University of Minnesota, School of Public Health, Minneapolis 55455, USA.
Health Care Financ Rev. 1995 Fall;17(1):53-67.
This article summarizes the perspectives gained in the course of evaluating a 4-year demonstration program that supported rural hospital networks as mechanisms for improving rural health care delivery. Findings include: (1) joining a network is a popular, low-cost strategic response for rural hospitals in an uncertain environment; (2) rural hospital network survival is enhanced by the mutual resource dependence of members and the presence of a formalized management structure; (3) rural hospitals join networks primarily to improve cost efficiency but, on average, hospitals do not appear to realize short-term economic benefit from network membership; and (4) some of the benefits of these networks may be realized outside of the communities in which rural hospitals are located.
本文总结了在评估一项为期四年的示范项目过程中所获得的观点，该项目支持农村医院网络作为改善农村医疗服务的机制。研究结果包括：（1）加入网络是农村医院在不确定环境中一种受欢迎的、低成本的战略应对措施；（2）成员之间的相互资源依赖和正规化管理结构的存在可提高农村医院网络的生存能力；（3）农村医院加入网络主要是为了提高成本效率，但平均而言，医院似乎并未从网络成员身份中实现短期经济效益；（4）这些网络的一些好处可能在农村医院所在社区之外实现。
