一所医院五扇门:关键通道医院可持续发展模式。

Q3 Medicine

Wisconsin Medical Journal Pub Date : 2023-03-01

Henry J Simpson, Dean B Eide, Richard A Helmers, Jason E Craig, Bailey G Salimes

{"title":"一所医院五扇门:关键通道医院可持续发展模式。","authors":"Henry J Simpson, Dean B Eide, Richard A Helmers, Jason E Craig, Bailey G Salimes","doi":"","DOIUrl":null,"url":null,"abstract":"Background: We wanted to assess whether a regional approach to bed management and staffing could improve financial sustainability without reducing services in rural communities.Methods: Regional approaches to patient placement, hospital throughput, and staffing were coupled with enhanced services at 1 hub hospital and 4 critical access hospitals.Results: We improved the use of patient beds in the 4 critical access hospitals, increased hub hospital capacity, and improved the health system's financial performance while maintaining or enhancing services at the critical access hospitals.Discussion: Sustainability of critical access hospitals can be attained without a decrease in services for rural patients and communities. One way to achieve this result is to invest in and enhance care at the rural site.","PeriodicalId":38747,"journal":{"name":"Wisconsin Medical Journal","volume":"122 1","pages":"44-47"},"PeriodicalIF":0.0000,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"One Hospital-Five Doors: A Model for Critical Access Hospital Sustainability.\",\"authors\":\"Henry J Simpson, Dean B Eide, Richard A Helmers, Jason E Craig, Bailey G Salimes\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: We wanted to assess whether a regional approach to bed management and staffing could improve financial sustainability without reducing services in rural communities.Methods: Regional approaches to patient placement, hospital throughput, and staffing were coupled with enhanced services at 1 hub hospital and 4 critical access hospitals.Results: We improved the use of patient beds in the 4 critical access hospitals, increased hub hospital capacity, and improved the health system's financial performance while maintaining or enhancing services at the critical access hospitals.Discussion: Sustainability of critical access hospitals can be attained without a decrease in services for rural patients and communities. One way to achieve this result is to invest in and enhance care at the rural site.\",\"PeriodicalId\":38747,\"journal\":{\"name\":\"Wisconsin Medical Journal\",\"volume\":\"122 1\",\"pages\":\"44-47\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Wisconsin Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wisconsin Medical Journal","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

背景:我们想评估在不减少农村社区服务的情况下，采用区域性的床位管理和人员配置方法是否可以改善财务可持续性。方法:在1个中心医院和4个关键通道医院采用区域方法对患者安置、医院吞吐量和人员配备进行改进。结果:我们改善了4家关键医院的病床使用情况，增加了中心医院的容量，并在维持或加强关键医院服务的同时改善了卫生系统的财务绩效。讨论:在不减少对农村病人和社区的服务的情况下，可以实现关键医院的可持续性。实现这一结果的一种方法是投资并加强农村地区的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

本刊更多论文

One Hospital-Five Doors: A Model for Critical Access Hospital Sustainability.

Background: We wanted to assess whether a regional approach to bed management and staffing could improve financial sustainability without reducing services in rural communities.

Methods: Regional approaches to patient placement, hospital throughput, and staffing were coupled with enhanced services at 1 hub hospital and 4 critical access hospitals.

Results: We improved the use of patient beds in the 4 critical access hospitals, increased hub hospital capacity, and improved the health system's financial performance while maintaining or enhancing services at the critical access hospitals.

Discussion: Sustainability of critical access hospitals can be attained without a decrease in services for rural patients and communities. One way to achieve this result is to invest in and enhance care at the rural site.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Wisconsin Medical Journal Medicine-Medicine (all)

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： The Wisconsin Medical Society is the largest association of medical doctors in the state with more than 12,000 members dedicated to the best interests of their patients. With that in mind, wisconsinmedicalsociety.org offers patients a unique source for reliable, physician-reviewed medical information. The Wisconsin Medical Society has been a trusted source for health policy leadership since 1841.