Smith C T, Trout M
Hospitals. 1992 Mar 5;66(5):44-6.
The nation's two largest alliances of not-for-profit hospitals and systems are refining their roles for the 1990s. American Health Care Systems (AmHS) and Voluntary Hospitals of America (VHA) are moving away from strategies designed for competition in the marketplace of the 1980s, and toward helping their members change the way they deliver health care in their communities. While AmHS is promoting its health care reform proposal, VHA sees its existing 29 regional organizations of hospitals as a potential infrastructure for the development of community-based, integrated networks of care as envisioned in the AHA's reform plan. Experts add that the alliances clearly have to go beyond group purchasing to serve the changing needs of their members.
美国两大非营利性医院及医疗系统联盟正在为20世纪90年代重新定位自身角色。美国医疗保健系统（AmHS）和美国志愿医院（VHA）正从旨在应对20世纪80年代市场竞争的策略中抽身，转而帮助其成员改变在各自社区提供医疗服务的方式。在AmHS推广其医疗改革提案的同时，VHA将其现有的29个地区医院组织视为美国医院协会（AHA）改革计划中所设想的基于社区的综合医疗网络发展的潜在基础设施。专家们还指出，这些联盟显然必须超越团购服务，以满足其成员不断变化的需求。
