Bales J D
Letterman Army Medical Center, Presidio of San Francisco, CA 94129.
Mil Med. 1993 Feb;158(2):84-90.
Letterman Army Medical Center (LAMC) began a phased downsizing in July 1991 which will lead to closure by June 30, 1994. An analysis of the downsizing and closure process has yielded information which can be valuable to medical treatment facility managers faced with similar challenges in the future. By review and analysis of documentation, this case study extracted and interpreted pertinent information from historical records and from personnel involved in planning for the downsizing and closure of LAMC. This study provides managers of military hospitals that are downsizing or closing with a summary of issues for planning, compiled by their relative importance, and a description of methods employed by LAMC for managing these issues.
莱特曼陆军医疗中心（LAMC）于1991年7月开始分阶段缩减规模，到1994年6月30日将关闭。对缩减规模和关闭过程的分析得出了一些信息，这些信息对于未来面临类似挑战的医疗设施管理人员可能很有价值。通过审查和分析文件，本案例研究从历史记录以及参与LAMC缩减规模和关闭规划的人员那里提取并解读了相关信息。本研究为正在进行缩减规模或关闭的军队医院管理人员提供了一份按重要性排序的规划问题总结，以及LAMC管理这些问题所采用方法的描述。
