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The Transition from Excess Capacity to Strained Capacity in U.S. Hospitals

机译:美国医院从过剩容量到紧张容量的转变

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摘要

After many years of concern about excess hospital capacity, a growing perception exists that the capacity of some hospitals now seems constrained. This article explores the reasons behind this changing perception, looking at the longitudinal data and in-depth interviews for hospitals in four study sites monitored by the Community Tracking Study of the Center for Studying Health System Change. Notwithstanding the differences for individual hospitals, we observed that adjustments to the supply of hospital services tend to be slow and out of sync with changes in the demand for hospital services. Those hospitals reporting capacity problems are often teaching hospitals, located near previously closed facilities or in population growth areas. These findings suggest therefore that approaches to dealing with capacity problems might best focus on better matching individual hospitals' supply and demand adjustments.
机译:在对医院过多的产能进行了多年关注之后,人们越来越多地意识到某些医院的产能现在似乎受到限制。本文探讨了这种观念转变背后的原因,通过研究卫生系统变化中心的社区追踪研究,对四个研究站点中医院的纵向数据和深入访谈进行了研究。尽管各家医院之间存在差异,但我们观察到,对医院服务供应的调整往往是缓慢的,并且与医院服务需求的变化不同步。那些报告容量问题的医院通常是教学医院,位于以前关闭的设施附近或人口增长地区。因此,这些发现表明,处理能力问题的方法可能最好集中在更好地匹配各个医院的供需调整上。

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