Clement J P, McCue M J, Luke R D, Bramble J D, Rossiter L F, Ozcan Y A, Pai C W
Williamson Institute for Health Studies, Virginia Commonwealth University, Richmond, USA.
Health Aff (Millwood). 1997 Nov-Dec;16(6):193-203. doi: 10.1377/hlthaff.16.6.193.
Acute care hospitals have increasingly been forming local strategic hospital alliances (SHAs), which consume considerable resources in forming and may affect the competitiveness of provider markets. This research shows that SHAs and market factors, which have been perceived to be threats to hospitals, are related to hospitals' financial performance. Among the findings are that SHA members have higher net revenues but that they are not more effective at cost control. Nor do the higher net revenues result in higher cash flow. However, increasing SHA penetration in a market is related to lower net revenues per case. In addition, the penetration of private health maintenance organizations in markets is associated with lower revenues and expenses.
急症医院越来越多地组建地方战略医院联盟（SHA），这在组建过程中消耗了大量资源，并且可能影响医疗服务提供商市场的竞争力。这项研究表明，SHA以及那些被认为对医院构成威胁的市场因素与医院的财务绩效有关。研究结果包括，SHA成员有更高的净收入，但在成本控制方面并不更有效。更高的净收入也不会带来更高的现金流。然而，市场中SHA渗透率的提高与每例病例的净收入降低有关。此外，私人健康维护组织在市场中的渗透率与收入和支出降低有关。
