Dornauer Mark E
Office of the Assistant Secretary for Preparedness and Response via GAP Solutions,Inc,Arlington,Virginia.
Disaster Med Public Health Prep. 2015 Dec;9(6):698-703. doi: 10.1017/dmp.2015.145.
The Office of the Assistant Secretary for Preparedness and Response within the US Department of Health and Human Services leads the nation in preparing for, responding to, and recovering from the adverse health effects of public health emergencies, in part through formal collaborations between hospitals, health systems, community health centers, public health departments, and community organizations via health care coalitions (HCCs). HCCs endeavor to meet the medical surge demands inherent to disasters and to improve health outcomes before, during, and after public health emergencies. Nevertheless, significant changes in health economics and policy can impact the operations, capabilities, and scope of HCCs. Specifically, hospital consolidation and the Affordable Care Act (ACA) are altering the national health care landscape, as well as the emergency preparedness sector, and are challenging HCCs to adapt to large-scale, industry-wide transformations. This article examines HCCs in the context of the developments of hospital consolidation and the ACA in order to facilitate future discourse regarding the strategy and policy of HCCs amid a changing economic and political landscape.
美国卫生与公众服务部助理部长准备与应对办公室引领美国应对公共卫生紧急事件的不利健康影响，包括预防、应对和恢复，部分工作通过医院、卫生系统、社区卫生中心、公共卫生部门和社区组织经由医疗保健联盟（HCC）开展正式合作来实现。HCC致力于满足灾害所固有的医疗需求激增情况，并改善公共卫生紧急事件发生前、期间和之后的健康状况。然而，卫生经济学和政策的重大变化会影响HCC的运作、能力和范围。具体而言，医院合并和《平价医疗法案》（ACA）正在改变国家医疗保健格局以及应急准备领域，并促使HCC适应大规模的全行业变革。本文在医院合并和ACA发展的背景下审视HCC，以便在不断变化的经济和政治格局中促进关于HCC战略和政策的未来讨论。
