卫生网络与系统的分类：重新评估
Taxonomy of health networks and systems: a reassessment.
作者信息
Luke Roice D
机构信息
Department of Health Administration, Virginia Commonwealth University, Box 980203, Richmond, VA 23298, USA.
出版信息
Health Serv Res. 2006 Jun;41(3 Pt 1):618-28. doi: 10.1111/j.1475-6773.2006.00524.x.
OBJECTIVE
To assess a widely recognized multihospital system taxonomy.
DATA SOURCES
The original taxonomy was based on American Hospital Association (AHA) Annual Survey Data for the years 1994 and 1995 and a reexamined version, on 1998 AHA data.
STUDY DESIGN
We assess the appropriateness of using data designed to capture local hospital/system interrelationships to develop a taxonomy of multihospital systems. DATA ABSTRACTION METHODS: The original and reexamined taxonomies used dichotomous measures of service availability, physician practice ownership, and managed care offerings.
PRINCIPAL FINDINGS
The data and measures used to formulate the taxonomy are not appropriate for classifying multihospital systems at the company level.
CONCLUSIONS
Taxonomic studies of multihospital systems are very much needed; future taxonomic studies should make clear distinctions between systems at local versus company levels.
目的
评估一种广泛认可的多医院系统分类法。
数据来源
原始分类法基于1994年和1995年美国医院协会（AHA）年度调查数据，重新审视后的版本基于1998年AHA数据。
研究设计
我们评估使用旨在捕捉当地医院/系统相互关系的数据来制定多医院系统分类法的适用性。数据提取方法：原始分类法和重新审视后的分类法使用了服务可及性、医生执业所有权和管理式医疗服务的二分法测量。
主要发现
用于制定分类法的数据和测量方法不适用于对公司层面的多医院系统进行分类。
结论
非常需要对多医院系统进行分类研究；未来的分类研究应明确区分地方层面和公司层面的系统。
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