Hospital reorganization after merger.
Hospital reorganization after merger.
复制标题
医院合并后重组。
DOI：
10.1097/00005650-199507000-00004
复制
发表时间：
1995
期刊：
影响因子：
3
通讯作者：
Chan,C
中科院分区：
文献类型：
--
作者：
Bogue,RJ;Shortell,SM;Sohn,MW;Manheim,LM;Bazzoli,G;Chan,C
医院之间的重大组织变革，如系统隶属关系，合并和关闭，似乎提供了大量的机会，医院和卫生系统的战略，在当地的医疗服务的重新配置。本报告介绍了一项独特的调查结果，调查了1983年至1988年期间医院合并后发生的情况。在美国医院协会正在进行的核查过程的基础上，在1991年秋季对研究框架期间发生的所有74起合并中的幸存机构进行了调查。74家合并医院中有60家（81%）就合并后医院的主要使用情况作出了答复。调查的主题包括医院之间的合并前的竞争，并在他们的环境，以及发生了什么事，医院合并后。合并经常用于将急性住院能力转换为其他功能，只有不到一半的被收购医院在合并后继续提供急性服务。在卫生保健改革的背景下，合并可能为当地重组卫生服务提供一种快捷的方式。证据合并后使用的医院和合并的原因表明，合并可能反映了两个一般战略：消除直接急性竞争对手或急性护理网络的扩展。
Major organizational changes among hospitals, like system affiliation, merger, and closure, would seem to offer substantial opportunities for hospitals and health systems to be strategic in the local reconfiguration of health services. This report presents the results of a unique survey on what happened to hospitals after mergers occurring between 1983 and 1988, inclusive. Building on an ongoing verification process of the American Hospital Association, surviving institutions from all 74 mergers that occurred during the study frame were surveyed in the fall of 1991. Responses were received from 60 of the 74 mergers (81%), regarding the primary, postmerger use of the hospitals involved. Topics surveyed included the premerger competition between the hospitals and in their environment, and what happened to the hospitals after their mergers. Mergers frequently served to convert acute, inpatient capacity to other functions, with less than half of acquired hospitals continuing acute services after merger. In the context of health care reform, mergers may offer an expeditious way locally to restructure health services. Evidence on the postmerger uses of hospitals and about the reasons given for merger suggests that mergers may reflect two general strategies: elimination of direct acute competitors or expansion of acute care networks.