Chang C F, Tuckman H P
Department of Economics, Fogelman College of Business and Economics, Memphis State University, TN 38152.
Health Serv Res. 1991 Jun;26(2):207-21.
This article focuses on a hospital group that has not received adequate attention in the literature: the sole provider of short-term, acute hospital care located in a county. In Tennessee, SPHs (single provider hospitals) are fewer in number but are present in more counties than multiprovider hospitals (MPHs). They are smaller in size, less labor and capital intensive, more likely to be a government hospital, and more likely to be in a rural area with low income and limited health care resources. SPHs operate with lower costs, charge patients less, and have lower revenue write-offs than MPHs. As a result, their cash flow is sufficient to fund their depreciation and they consistently earn modest returns. Between 1982 and 1988, a total of 16 hospitals failed in Tennessee but only 3 were SPHs. While SPHs have not been profitable enough to make them ideal candidates for takeover by major hospital systems, they are not a population that is unduly at risk.
位于某县的短期急性医院护理的唯一提供者。在田纳西州，单一提供者医院（SPH）数量较少，但比多提供者医院（MPH）分布在更多的县。它们规模较小，劳动力和资本密集度较低，更有可能是公立医院，并且更有可能位于低收入且医疗资源有限的农村地区。与多提供者医院相比，单一提供者医院运营成本更低，向患者收取的费用更少，收入核销也更低。因此，它们的现金流足以支付折旧费用，并且一直获得适度的回报。1982年至1988年间，田纳西州共有16家医院倒闭，但只有3家是单一提供者医院。虽然单一提供者医院的盈利能力不足以使其成为大型医院系统收购的理想对象，但它们也并非处于过度风险之中的群体。
