Bazzoli Gloria J, Gerland Anneliese, May Jessica
Department of Health Administration, Virginia Commonwealth University, Richmond, USA.
Health Aff (Millwood). 2006 May-Jun;25(3):783-91. doi: 10.1377/hlthaff.25.3.783.
Hospital construction activity is increasing, but little information exists on what types of hospital capacity are affected and what is motivating specific efforts. Our analysis of Round Five Community Tracking Study data revealed four general types of activity: new hospital construction or expansion of existing general hospital capacity; new or expanded capacity in specialty services; replacement of aged facilities; and expansion of capacity-constrained services. Some of these actions are responsive to community need, but others resemble a medical-arms-race response. Overall, current construction activity will provide more convenient access for some consumers but at high cost if excess capacity results.
医院建设活动正在增加，但关于哪些类型的医院容量受到影响以及推动特定建设努力的因素却知之甚少。我们对第五轮社区追踪研究数据的分析揭示了四种一般类型的活动：新建医院或扩大现有综合医院的容量；专科服务方面的新增或扩大容量；老旧设施的更换；以及对容量受限服务的扩充。这些行动中有些是对社区需求的回应，但其他一些则类似于医疗军备竞赛式的反应。总体而言，当前的建设活动将为一些消费者提供更便捷的就医途径，但如果导致产能过剩，成本将会很高。
