Kooi D, White R E, Smith H L
Veterans Administration Medical Center, Albuquerque, New Mexico.
J Nurs Adm. 1988 Mar;18(3):10-8.
Reimbursement, competition, and other significant trends in the health field have stimulated an increase in mergers among health care organizations. Mergers inevitably produce significant ramifications for clinicians. Nurses have discovered that mergers produce a greater need for efficient patient care, but not necessarily the mechanism or guidance for achieving this goal. Nursing administrators are responsible for minimizing the negative impact of a merger on nurses while simultaneously promoting merger goals. Despite this increase in mergers and the subsequent challenge to clinicians, little information is available about how to manage mergers. This article reviews the impact of the merger between the Veterans Administration Medical Center and the Kirtland Air Force Base Hospital in Albuquerque, New Mexico. A nursing perspective is used to understand what problems arise and how nursing administrators can effectively manage these problems.
报销、竞争以及医疗领域的其他重大趋势刺激了医疗保健机构之间合并的增加。合并不可避免地给临床医生带来重大影响。护士们发现合并使得对高效患者护理的需求更大，但不一定有实现这一目标的机制或指导。护理管理人员负责将合并对护士的负面影响降至最低，同时推动合并目标的实现。尽管合并有所增加，给临床医生带来了后续挑战，但关于如何管理合并的信息却很少。本文回顾了新墨西哥州阿尔伯克基的退伍军人管理局医疗中心与柯特兰空军基地医院合并所产生的影响。从护理角度来了解出现了哪些问题以及护理管理人员如何有效管理这些问题。
