Jones S B, DuVal M K, Lesparre M
Inquiry. 1987 Summer;24(2):110-8.
Voluntary hospitals must develop increasingly businesslike strategies to survive in today's market-driven health care system. While challenging and necessary, this behavior is stirring fears that the time-honored mission of these hospitals will be seriously undermined. Noting that the voluntary tradition leavens the competitive marketplace, the authors suggest that we have much to lose if voluntary not-for-profit hospitals no longer play a leading role in the health care system, including: needed services to all classes of patients, paying and nonpaying; an important locus of community expressions of compassion and charity; and the settings that have inspired the vision of what medicine and health care can accomplish for mankind.
志愿医院必须制定越来越商业化的策略，以便在如今以市场为导向的医疗体系中生存。尽管这一行为具有挑战性且必要，但它引发了人们的担忧，即这些医院由来已久的使命将受到严重损害。作者们指出志愿传统使竞争激烈的市场更有人情味，并表示，如果非营利性志愿医院不再在医疗体系中发挥主导作用，我们将失去很多，包括：为所有阶层患者（付费和未付费患者）提供所需服务；社区表达同情和慈善的重要场所；以及激发人们对医学和医疗保健能为人类实现何种成就的愿景的环境。
