Prybil L D
Am J Hosp Pharm. 1982 Nov;39(11):1888-91.
The growth of multiunit hospital systems (organizations that include two or more acute-care hospitals owned, leased, or managed by a single corporate entity) and their impact on health care are described. In 1970, there were fewer than 50 nongovernmental multiunit hospital systems in the United States. By 1981, this figure increased to 256; 53% of the systems included only two or three hospital units, while 13% included 11 or more units. Approximately one third of all nongovernmental hospitals in 1981 were included in multiunit systems. About 12% of the systems, which included 39% of the hospitals, were owned or operated by investor-owned firms. Multiunit hospital systems can improve the hospital industry's overall effectiveness and efficiency by achieving economies of scale and by developing hospital performance criteria and standards. In the future, the number and size of U.S. multiunit hospital systems most likely will continue to increase. The nation's multiunit hospital systems vary enormously in size and composition, as well as in their mission, goals, values, and approaches to governance and management.
本文描述了多机构医院系统（由单一法人实体拥有、租赁或管理的包含两家或更多急症护理医院的组织）的发展及其对医疗保健的影响。1970年，美国非政府多机构医院系统不足50个。到1981年，这一数字增至256个；其中53%的系统仅包含两三个医院单元，而13%的系统包含11个或更多单元。1981年，所有非政府医院中约三分之一隶属于多机构系统。约12%的系统（包含39%的医院）由投资者所有的公司拥有或运营。多机构医院系统可通过实现规模经济以及制定医院绩效标准来提高医院行业的整体有效性和效率。未来，美国多机构医院系统的数量和规模很可能会持续增长。美国的多机构医院系统在规模、组成、使命、目标、价值观以及治理和管理方式等方面存在巨大差异。
