Anderson S, Baker C, Beglinger J, Bowles K, Doucette R, Oswald B, Salyards M, Welker T, Wisneski R
St. Marys Hospital Medical Center, Madison, Wisconsin, USA.
Nurs Adm Q. 1998 Fall;23(1):15-23. doi: 10.1097/00006216-199823010-00006.
The effects of a turbulent health care delivery market have impacted the day-to-day reality of acute care hospitals. One effect is that the supply of acute care hospital beds currently exceeds the demand, a trend that is expected to continue to the year 2000 and beyond. Nursing administrators at St. Marys Hospital Medical Center made the decision to close an inpatient unit in order to better match acute care bed supply to existing demand. Decision support for closure, organizational change, and lessons learned from the closure process are discussed.
动荡的医疗保健服务市场的影响已经波及急症医院的日常运营现实。其中一个影响是，目前急症医院病床的供给超过了需求，预计这一趋势将持续到2000年及以后。圣玛丽医院医疗中心的护理管理人员决定关闭一个住院单元，以便使急症护理病床的供给更好地与现有需求相匹配。文中讨论了关于关闭决策的支持、组织变革以及从关闭过程中吸取的经验教训。
