Gamm L D, Benson K J
Pennsylvania State University, USA.
J Health Polit Policy Law. 1998 Oct;23(5):771-94. doi: 10.1215/03616878-23-5-771.
This is a comparative analysis of hospitals' efforts in three communities to pursue collaborative ventures to advance community health. The events occurred over a two-year period characterized by increasing market competition and national debate about comprehensive health care financing reform. The study objectives are to better understand factors that contributed to the initiation of the collaborative efforts, and factors that sustained, hindered, or thwarted these efforts. The study explores how the collaborative ventures in these three communities fared in the face of multiple and conflicting policies and the simultaneous creation of larger, competing health systems. A number of concluding generalizations address the impact of interorganizational dynamics and public policy initiatives on community health partnerships.
这是一项对三家医院在三个社区为推进社区健康而开展合作项目所做努力的比较分析。这些事件发生在一个为期两年的时间段内，其特点是市场竞争日益激烈，且全国范围内围绕全面医疗保健融资改革展开了辩论。研究目标是更好地理解促成合作努力启动的因素，以及维持、阻碍或挫败这些努力的因素。该研究探讨了这三个社区的合作项目在面对多重且相互冲突的政策以及同时出现的更大、更具竞争力的医疗系统时的进展情况。一些总结性的概括阐述了组织间动态和公共政策举措对社区健康伙伴关系的影响。
