REINVENTING THE AMERICAN HOSPITAL

被引：89

作者：

SHORTELL, SM ^{[1
]}

GILLIES, RR ^{[1
]}

DEVERS, KJ ^{[1
]}

机构：

[1] UNIV CALIF BERKELEY,BERKELEY,CA 94720

来源：

MILBANK QUARTERLY | 1995年 / 73卷 / 02期

关键词：

D O I：

10.2307/3350254

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：

The American hospital is being reinvented to conform with the forces that are replacing the acute, inpatient-oriented illness model of health care with a disease-prevention, health-promotion, primary-care one. Although hospitals will no longer conduct the "core business" of American health care, they can play a key role by empowering others and facilitating the integration of health services across the continuum of care. New management and governance structures will be required, as will population-based health status needs assessments, new relations with physicians, re-engineering of the clinical processes, organization-wide commitment to improving quality, information systems that link patients and providers, and creation of an overall community care management system. Despite major barriers, there are examples of progress.

引用

页码：131 / 160

页数：30