Hospitals in a changing health care system

被引:14
|
作者
Duke, KS
机构
[1] Institute for Health Policy Studies, University of California
关键词
D O I
10.1377/hlthaff.15.2.49
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Health system change is happening locally, and hospitals are at the center of this change. This paper, which presents data from a 1995 study of fifteen diverse communities, sketches the broad economic and organizational forces affecting hospitals in these communities and the hospitals' responses. Within these larger trends, local flavors and differences emerge. These appear to reflect variations in each community's employment base and health care purchasing experience, in the history and political strength of health system stakeholders, and in regional issues of culture or religious affiliation for some hospitals.
引用
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页码:49 / 61
页数:13
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