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Reinventing the American hospital.
Milbank Q. 1995; 73(2):131-60.MQ

Abstract

The American hospital is being reinvented to conform with the forces that are replacing the acute, inpatient-oriented illness model of health care with a disease-prevention, health-promotion, primary-care one. Although hospitals will no longer conduct the "core business" of American health care, they can play a key role by empowering others and facilitating the integration of health services across the continuum of care. New management and governance structures will be required, as will population-based health status needs assessments, new relations with physicians, re-engineering of the clinical processes, organization-wide commitment to improving quality, information systems that link patients and providers, and creation of an overall community care management system. Despite major barriers, there are examples of progress.

Authors+Show Affiliations

Shortell SM
J.L. Kellogg Graduate School of Management, Northwestern University, Evanston, IL 60208-2007, USA.
Gillies RR
No affiliation info available
Devers KJ
No affiliation info available

MeSH

Community Health PlanningDelivery of Health CareHealth PromotionHealth Services Needs and DemandHospital RestructuringHospital-Physician RelationsHumansModels, OrganizationalMulti-Institutional SystemsSocial ChangeSystems IntegrationTotal Quality ManagementUnited States

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

7776943

Citation

Shortell, S M., et al. "Reinventing the American Hospital." The Milbank Quarterly, vol. 73, no. 2, 1995, pp. 131-60.
Shortell SM, Gillies RR, Devers KJ. Reinventing the American hospital. Milbank Q. 1995;73(2):131-60.
Shortell, S. M., Gillies, R. R., & Devers, K. J. (1995). Reinventing the American hospital. The Milbank Quarterly, 73(2), 131-60.
Shortell SM, Gillies RR, Devers KJ. Reinventing the American Hospital. Milbank Q. 1995;73(2):131-60. PubMed PMID: 7776943.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reinventing the American hospital. AU - Shortell,S M, AU - Gillies,R R, AU - Devers,K J, PY - 1995/1/1/pubmed PY - 1995/1/1/medline PY - 1995/1/1/entrez SP - 131 EP - 60 JF - The Milbank quarterly JO - Milbank Q VL - 73 IS - 2 N2 - The American hospital is being reinvented to conform with the forces that are replacing the acute, inpatient-oriented illness model of health care with a disease-prevention, health-promotion, primary-care one. Although hospitals will no longer conduct the "core business" of American health care, they can play a key role by empowering others and facilitating the integration of health services across the continuum of care. New management and governance structures will be required, as will population-based health status needs assessments, new relations with physicians, re-engineering of the clinical processes, organization-wide commitment to improving quality, information systems that link patients and providers, and creation of an overall community care management system. Despite major barriers, there are examples of progress. SN - 0887-378X UR - https://www.unboundmedicine.com/medline/citation/7776943/Reinventing_the_American_hospital_ DB - PRIME DP - Unbound Medicine ER -