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Financial Strategies and Initiatives for Preventing Rural Hospital Closure

机译：防止农村医院关闭的财务策略和举措

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摘要

In the United States, rural hospital closures increased 34% since 2015 due to financial reasons, affecting access to healthcare services in rural communities. For rural hospital leaders, improving the hospital's financial performance is a valuable strategic goal. This multiple case study was designed to explore strategies that rural hospital leaders implement to improve their hospital's financial performance in Arizona, Georgia, Illinois, Oklahoma, Pennsylvania, and the United States Virgin Islands. The strategic decision-making framework supported the study because top leaders make decisions that affect the organization's health and survival. Fifteen rural hospital leaders who maintain their hospital's financial stability provided hospital documentation and pertinent strategic information from their respective semistructured interviews. Sections of text signifying concepts from collected documentation and transcribed interviews were organized and coded according to research question and interview questions to explore strategies rural hospital leaders implemented to improve their hospital's financial performance. The methods triangulation process encompassed comparing findings from the interview themes and hospital strategic documentation analysis. The key themes that emerged from coded data were rural hospital leaders' decision-making when addressing rural hospital financial performance, developing synergies with external providers and hospitals, creating effective short-term and long-term strategies, and translating success to the entire organization. Implications for social change include the potential to prevent rural hospital closure and ensure access to healthcare services for the communities rural hospitals serve.
机译：在美国，由于经济原因，自2015年以来，农村医院的关闭率增加了34％，影响了农村社区获得医疗服务的机会。对于农村医院的领导者来说，改善医院的财务绩效是一项宝贵的战略目标。这项多案例研究旨在探讨在亚利桑那州，乔治亚州，伊利诺伊州，俄克拉荷马州，宾夕法尼亚州和美属维尔京群岛，农村医院领导者采用的策略，以改善其医院的财务绩效。战略决策框架为这项研究提供了支持，因为高层领导做出的决策会影响组织的健康和生存。十五名保持医院财务稳定的农村医院负责人通过各自的半结构化访谈提供了医院文件和相关的战略信息。根据研究问题和访谈问题组织和编码了收集到的文档和笔录访谈中表示概念的文本部分，以探索农村医院负责人为提高医院财务绩效而实施的策略。方法的三角测量过程包括比较访谈主题的发现和医院战略文件分析。编码数据产生的关键主题是农村医院领导者在解决农村医院财务绩效时的决策，与外部提供者和医院的协同作用，制定有效的短期和长期策略以及将成功转化为整个组织。对社会变革的影响包括防止农村医院关闭和确保农村医院所服务社区获得医疗服务的潜力。

著录项

  • 作者

    Uecker, Chinue.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Health care management.;Public health.
  • 学位 D.B.A.
  • 年度 2018
  • 页码 152 p.
  • 总页数 152
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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