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Related Experiment Videos

Declining average daily census. Part 2: Possible solutions.

T P Weil

    Health Progress (Saint Louis, Mo.)
    |December 11, 1985
    PubMed
    Summary
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    Hospitals facing declining patient numbers can strategically develop regional, multilevel health systems. This approach, emphasizing vertical integration and prepayment, offers advantages over joining large, scattered multihospital systems.

    Area of Science:

    • Healthcare Management
    • Health Services Research
    • Hospital Administration

    Background:

    • Hospitals are experiencing a declining average daily census, necessitating strategic solutions.
    • Various approaches exist, ranging from closure to diversification and system acquisition.
    • The choice of strategy significantly impacts a hospital's long-term viability and service delivery.

    Purpose of the Study:

    • To evaluate potential solutions for hospitals with a declining average daily census.
    • To compare the merits of developing regional health systems versus joining multihospital systems.
    • To identify key factors favoring regionalization and vertical integration strategies.

    Main Methods:

    • Analysis of available strategic options for hospitals.

    Related Experiment Videos

  • Comparative assessment of regional multilevel systems versus multihospital systems.
  • Identification of factors influencing the choice between vertical and horizontal integration.

    • Main Results:

    • Regional multilevel health systems with prepayment plans are favored over large, geographically dispersed multihospital systems.
    • Factors such as geographic proximity, service integration, and local control support regionalization.
    • Vertical integration within a regional framework offers a more effective solution for declining census.

    Conclusions:

    • Developing a regional multilevel health care system with vertical integration and prepayment is a viable strategy for hospitals.
    • Regional systems offer advantages in terms of local responsiveness, service coordination, and management.
    • Hospitals should prioritize regionalization and vertical integration over horizontal integration or acquisition by large systems.