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Join the Mission-Margin Discussion.

Bruce Compton

    Health Progress (Saint Louis, Mo.)
    |July 25, 2018
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    Summary

    Hospitals in Haiti face challenges balancing their mission to serve the poor with financial sustainability. Attracting paying patients while caring for the uninsured is a key management struggle for healthcare providers.

    Area of Science:

    • Healthcare Management
    • Global Health
    • Public Health Policy

    Background:

    • St. Francis de Sales Hospital in Port-au-Prince, Haiti, serves the poorest populations.
    • Hospital leadership faces significant financial and operational challenges.

    Purpose of the Study:

    • To explore the management and financial sustainability challenges of a hospital serving an impoverished population.
    • To understand the deliberations surrounding balancing mission-driven care with financial viability.

    Main Methods:

    • Qualitative discussion with hospital management (three priests).
    • Exploration of strategies for financial sustainability.
    • Analysis of the dual challenge of serving non-paying and paying patients.

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    Main Results:

    • Hospital leadership expressed difficulties in maintaining financial margins while fulfilling their mission.
    • Discussions revealed complexities in attracting paying patients to subsidize care for the indigent.
    • The hospital operates under significant resource constraints.

    Conclusions:

    • Achieving financial sustainability for mission-driven hospitals in low-resource settings is complex.
    • Innovative strategies are needed to balance serving vulnerable populations with financial health.
    • The case highlights the critical need for support systems for healthcare facilities in developing nations.