Wright M L
Camino Healthcare, Mountain View, CA, USA.
Radiol Manage. 1996 Nov-Dec;18(5):48-50.
The state of California created the El Camino Hospital District in 1961, one of 77 such districts created as a way to fund rural hospitals. During the 1990s, hospital administrators began to look for ways to streamline operations and cut costs to remain competitive. In 1992, the hospital District Board voted to turn over El Camino's management to a nonprofit company, believing the hospital could form business partnerships with doctors. The District created a private, nonprofit corporation, approved the appointment of volunteers and physicians to the board, and instructed the board to develop on alliance with other physicians. It became evident that several philosophies were at work regarding the healthcare system. In 1995, the District attempted to void the 1992 agreements and take back the hospital. Legal investigations were initiated. Meanwhile, reimbursement rates were decreasing and the hospital's 600 doctors were dissatisfied. Legal struggles continue, public controversy and physician anger are ongoing, and the Santa Clara County District Attorney's office has begun an audit of records. Camino Healthcare, despite all the ongoing difficulties, continues to provide excellent care to patients and the community.
加利福尼亚州于1961年设立了埃尔卡米诺医院区，这是作为资助乡村医院的一种方式而设立的77个此类地区之一。在20世纪90年代，医院管理人员开始寻求精简运营和削减成本的方法，以保持竞争力。1992年，医院区董事会投票决定将埃尔卡米诺医院的管理移交给一家非营利性公司，认为该医院可以与医生建立商业伙伴关系。该地区创建了一家私人非营利性公司，批准任命志愿者和医生进入董事会，并指示董事会与其他医生建立联盟。很明显，关于医疗保健系统存在几种理念在起作用。1995年，该地区试图废除1992年的协议并收回医院。于是展开了法律调查。与此同时，报销率在下降，医院的600名医生也不满意。法律斗争仍在继续，公众争议和医生的愤怒持续不断，圣克拉拉县地方检察官办公室已开始对记录进行审计。尽管面临所有这些持续的困难，卡米诺医疗保健公司仍继续为患者和社区提供优质护理。
