Strategies for multi-hospital networks: a framework
Strategies for multi-hospital networks: a framework
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DOI：
10.1258/0951484053723135
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发表时间：
2005-05-01
影响因子：
2.1
通讯作者：
Lega, Federico
中科院分区：
文献类型：
--
作者：
Lega, Federico
在过去二十年中，所有工业化国家的卫生部门都出现了多医院网络。这种网络似乎代表了一种组织选择，它为处理卫生领域的成本和质量问题提供了有趣的机会。这项工作提出并讨论了可由高路网实施的战略框架，以实现预期效益。然后将估计的优势与意想不到的或被低估的缺点和经验证据进行权衡。结论指出，对于希望提高效率和财务稳定性的独立医院来说，妇幼保健院是未来可行的替代方案，条件是对其合并过程进行“适当管理”。这需要广泛的交易前分析，以批判性地评估通过网络的形成可以实现的利益，以及交易后在实施整合战略方面的毅力。在此基础上，还讨论了不通过合理的评价，而以经营的方式将创建hns的危险性降到最低的具体建议。
The last two decades have seen the significant emergence of multi-hospital networks (MHNs) in the health sectors of all industrialized countries. Such networks seem to represent an organizational choice, which provides interesting opportunities to cope with cost and quality issues stressing the health field. This work proposes and discusses a framework for strategies that can be implemented by MHNs to achieve projected benefits. The estimated advantages are then weighed against unexpected or underrated drawbacks and empirical evidence. The conclusions point out MHNs as viable future alternatives for freestanding hospitals looking to improve their efficiency and financial stability, on condition that a 'proper management' of their consolidation processes is carried out. This requires extensive pre-deal analysis to critically assess what benefits could be achieved through the network's formation, as well as post-deal perseverance in implementing consolidation strategies to their full. In this perspective, specific advices apt to minimize the risk of creating MHNs in the wake of a management fashion instead of through sound rational assessments are also discussed.