In Sickness and in Wealth: American Hospitals in the Twentieth Century

In Sickness and in Wealth: American Hospitals in the Twentieth Century
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疾病与财富:二十世纪的美国医院

DOI:
10.5860/choice.27-0342
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发表时间:
1989
期刊:
Clinical Medicine Insights. Case Reports
影响因子:
--
通讯作者:
R. Stevens
R. Stevens
中科院分区:
--
文献类型:
--
作者:
R. Stevens

文献摘要

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美国医院是独一无二的:公立和私立机构的结合体,既是慈善机构,又是企业、社会福利机构,也是美国科学、财富和技术成就的象征。 《疾病与财富》帮助我们理解这个巨大且常常矛盾的“行业”,并表明在整个世纪中,志愿非营利医院一直是利润最大化的企业,尽管它们将自己视为服务社区的慈善机构。尽管我们的医院为重症和可治愈的患者提供了最先进的医疗服务,但在满足慢性病患者和社会弱势群体的需求方面却远远不够成功。史蒂文斯总结道,这是社会政策的下一个紧迫任务。
American hospitals are unique: a combination of public and private institutions that are at once charities and businesses, social welfare institutions and icons of U.S. science, wealth, and technical achievement. In Sickness and in Wealth helps us understand this huge and often contradictory "industry" and shows that throughout this century the voluntary not-for-profit hospitals have been profit-maximizing enterprises, even though they have viewed themselves as charities serving the community. Although our hospitals have provided the most advanced medical care for acutely sick and curable patients, they have been much less successful in meeting the needs of the chronically ill and the socially disadvantaged. That, Stevens concludes, is the next urgent task of social policy.