Robert Wood Johnson Clinical Scholars Program, University of Michigan, Ann Arbor, Michigan, USA.
J Hosp Med. 2010 May-Jun;5(5):302-5. doi: 10.1002/jhm.654.
For generations, American hospitals have been considered recession-proof, but there is reason to believe the current economic crisis is an exception. Hospitals have shown declining financial margins and decreased admissions. The severe recession has adversely affected many hospitals' finances, creating a risk of closure and constraining plans for expansion. We believe there is also a risk of harming clinical quality, through decreased staffing that may limit the momentum of the hospital quality movement, especially in fiscally vulnerable institutions. We consider ways the federal government could aid hospitals by promoting hospital quality while providing employment.
几十年来，美国的医院一直被认为是经济衰退的避风港，但现在有理由相信当前的经济危机是个例外。医院的财务利润率一直在下降，住院人数也在减少。严重的经济衰退对许多医院的财务造成了不利影响，使它们面临倒闭的风险，并限制了扩张计划。我们还认为，医院可能会通过裁员来损害临床质量，从而限制医院质量运动的势头，尤其是在财政脆弱的机构中。我们正在考虑联邦政府通过促进医院质量来提供就业机会，从而为医院提供帮助的方法。
