De Lorenzo Robert A
Department of Clinical Investigations, MCHE-CI, Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, Texas 78234-6200, USA.
Mil Med. 2008 Feb;173(2):203-9. doi: 10.7205/milmed.173.2.203.
The Defense Base Closure and Realignment Commission law of 2005 established a combined Army-Air Force medical center in San Antonio, Texas. The new facility is named the San Antonio Military Medical Center. This planned integration of two facilities would result in the downsizing of Wilford Hall Medical Center to a clinic and expansion of the nearby Brooke Army Medical Center to encompass all inpatient care. As part of the integration, the emergency services of both hospitals, to include the emergency departments, would merge under single leadership. As part of this case study, the proposed future organizational design is examined. Real and potential barriers to change are also indentified and possible solutions are explored.
2005年的《国防基地关闭与调整委员会法》在得克萨斯州圣安东尼奥市设立了一个陆军与空军联合医疗中心。新设施被命名为圣安东尼奥军事医疗中心。这一将两个设施整合的计划会导致威尔福德·霍尔医疗中心规模缩减为一个诊所，并扩大附近的布鲁克陆军医疗中心，使其涵盖所有住院护理服务。作为整合的一部分，两家医院的急救服务，包括急诊科，将在单一领导下合并。作为本案例研究的一部分，对提议的未来组织设计进行了审视。还确定了变革的实际和潜在障碍，并探索了可能的解决方案。
