J Health Care Poor Underserved. 2020;31(4):1536-1545. doi: 10.1353/hpu.2020.0115.
Currently, over 100,000 individuals in the Metro Nashville, TN area are either uninsured or underinsured, a statistic that is of grave concern in an increasingly prosperous and growing city. It is, however, unsurprising in a state that has not expanded Medicaid. In the absence of Medicaid expansion, public safety-net hospitals prove ever more vital in addressing the health needs of the community. Nashville's only public safety-net hospital-Nashville General Hospital (NGH)-faces challenges associated with financial growth as well as changes in the demographic profile of the patient population and in-service utilization. To combat the decline, NGH, like many similar hospitals around the country, may consider possible organizational and financial restructuring to achieve sustainability.
目前，田纳西州纳什维尔都会区有超过 10 万人没有保险或保险不足，这一统计数据在一个日益繁荣和发展的城市中令人严重关切。然而，在一个没有扩大医疗补助的州，这并不奇怪。在没有扩大医疗补助的情况下，公共医疗保障网医院在满足社区健康需求方面显得更加重要。纳什维尔唯一的公共医疗保障网医院——纳什维尔综合医院（NGH）面临着与财务增长以及患者人群特征和服务利用变化相关的挑战。为了应对这种下降，NGH 可能会像全国许多类似的医院一样，考虑进行可能的组织和财务重组，以实现可持续性。
