Health Policy Center at Urban Institute in Washington, DC, USA.
Health Aff (Millwood). 2012 Aug;31(8):1690-7. doi: 10.1377/hlthaff.2012.0258.
Safety-net hospitals will continue to play a critical role in the US health care system, as they will need to care for the more than twenty-three million people who are estimated to remain uninsured after the Affordable Care Act is implemented. Yet such hospitals will probably have less federal and state support for uncompensated care. At the same time, safety-net hospitals will need to reposition themselves in the marketplace to compete effectively for newly insured people who will have a choice of providers. We examine how five leading safety-net hospitals have begun preparing for reform. Building upon strong organizational attributes such as health information technology and system integration, the study hospitals' preparations include improving the efficiency and quality of care delivery, retaining current and attracting new patients, and expanding the medical home model.
美国安全网医院将继续在美国医疗体系中发挥关键作用，因为在平价医疗法案实施后，预计仍将有超过 2300 万人没有医疗保险，这些医院需要为这些人提供医疗服务。然而，此类医院获得联邦和州政府对无保险人群的补贴可能会减少。与此同时，安全网医院需要在市场上重新定位，以有效竞争新获得保险的人群，这些人将有选择供应商的权利。我们研究了五家领先的安全网医院如何开始为改革做准备。这五家医院在强大的组织属性（如健康信息技术和系统集成）的基础上，准备工作包括提高医疗服务的效率和质量、留住现有患者并吸引新患者，以及扩大家庭医疗模式。
