McKinley Andrew
Issue Brief Health Policy Track Serv. 2005 Dec 31:1-10.
The mission of every hospital in America is to serve the health care needs of individuals in their communities, 24 hours a day, seven days a week. Their task, and the task of their medical staff, is to continually care for and to cure their patients. American health facilities are said to provide the best, most sophisticated, and most beneficial health care in the world. However, a hospital's ability to care for each patient who walks through their doors is continuously challenged on numerous fronts--the shortage of key hospital personnel, the increased cost of caring for the uninsured, the continued problem of medical errors, and the growth of niche and specialty hospitals. As of 2002, there were 5,794 registered hospitals in the United States, according to the most recent data available from the American Hospital Association (AHA). The AHA also states that there are 4,927 community hospitals, which includes nongovernmental, non-profit hospitals, investor-owned (for-profit) hospitals, and hospitals owned by state and local governments. The AHA defines community hospitals as all non-federal, short-term general and other specialty hospitals. Specialty hospitals include obstetrics and gynecology, rehabilitation, orthopedic and other individually described specialty services. Statistics provided by the AHA indicate that the number of rural and urban community hospitals is approximately equal--2,178 rural hospitals compared to 2,749 urban hospitals.
美国每一家医院的使命都是每周七天、每天24小时满足所在社区个人的医疗保健需求。它们以及医院医护人员的任务是持续照料并治愈患者。据说美国的医疗设施提供着世界上最优质、最先进且最有益的医疗保健服务。然而,医院照料每一位走进大门的患者的能力在诸多方面不断受到挑战——关键医院人员短缺、照顾未参保者的成本增加、医疗失误这一持续存在的问题以及专科医院和特色医院的增多。根据美国医院协会(AHA)提供的最新数据,截至2002年,美国有5794家注册医院。AHA还指出,有4927家社区医院,其中包括非政府非营利性医院、投资者所有(营利性)医院以及州和地方政府所有的医院。AHA将社区医院定义为所有非联邦的短期综合医院和其他专科医院。专科医院包括妇产科、康复科、骨科以及其他个别描述的特色服务科室。AHA提供的统计数据表明,农村和城市社区医院的数量大致相等——农村医院有2178家,而城市医院有2749家。