Griffith J R
Department of Health Management and Policy, University of Michigan, School of Public Health, Ann Arbor, USA.
Health Care Manage Rev. 1997 Summer;22(3):82-91.
This article proposes a vision, strategies, and structure for the organizations that will replace community hospitals. The vision must embrace health rather than health care, and cost reduction as an explicit, measured goal. Strategies must include immediate cost savings, but also longer-term revision of organizations, wage structures, prevention, and medical attitudes. Structures must assure local stakeholders their voice in health issues.
本文为将取代社区医院的机构提出了一个愿景、战略和架构。该愿景必须涵盖健康而非医疗保健,并将成本降低作为一个明确的、可衡量的目标。战略必须包括立即节省成本,以及对机构、工资结构、预防措施和医疗态度进行长期调整。架构必须确保当地利益相关者在健康问题上能够发声。