Snook I D
Am J Hosp Pharm. 1987 May;44(5):1056-9.
Corporate restructuring of hospitals as a strategy for survival and continued success is described. Health-care providers' traditional orientation has been toward service and mission; now, profits and new markets in health care must be considered also. To remain competitive, hospitals must be prepared to act rapidly on opportunities. Corporate reorganization, the creation of new corporate entities that perform diversified medical and nonmedical functions, may provide the flexibility needed for quick action. Legal and accounting costs will be incurred by corporate reorganization. Tax issues, staff morale, community support, and effect on hospital managers and board members should be considered. Hospitals can cut costs through vertical integration of existing services; in this system-building strategy, new services can be added to broaden the patient base. Corporate reorganization is more important for diversification--the extension of a hospital's medical and health businesses--than for system building. Guidelines for diversification are offered. Corporate reorganization is a technique that should be considered in an institution's planning process.
本文描述了医院的企业重组，这是一种关乎生存与持续成功的策略。医疗服务提供者传统上侧重于服务与使命；而如今，医疗保健领域的利润和新市场也必须纳入考量。为保持竞争力，医院必须准备好迅速抓住机遇。企业重组，即创建执行多元化医疗和非医疗功能的新企业实体，可能会提供快速行动所需的灵活性。企业重组会产生法律和会计成本。税务问题、员工士气、社区支持以及对医院管理人员和董事会成员的影响都应予以考虑。医院可通过对现有服务进行纵向整合来削减成本；在这种系统建设策略中，可以增加新服务以扩大患者群体。企业重组对于多元化（即医院医疗和健康业务的拓展）而言比系统建设更为重要。文中提供了多元化的指导方针。企业重组是一种应在机构规划过程中予以考虑的技术手段。
