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« am: 18. März 2011, 08:46:46 »

Section: STRATEGIC PLANNING City hospitals suit to late and diverse realities Every two years, the Washington, D. Based Center benefit of Studying Health System Change conducts a series of location visits to  portly metropolitan areas, which wait on as the grit of its Community Tracking Survey. This examine leads to ordered, and every so often monotonous, reports on how "Uninsured Patients, Malpractice Insurance Woes Stress Miami Health Care Market, " or how "Syracuse Faces Rising Health Costs; Hospital Competition Grows. " On every stay, HSC keeps its eyes agape also in behalf of some surprising lean that occurs across markets. On their 2005 milieu visits, researchers notable that demographic changes within urban communities secure led to growing nationwide disparities between financially hale and hearty and struggling hospitals, be revenged as assorted urban economies were improving and methodical as hospitals in decided markets were thriving on usual. "We hadn't expected to mull over that thing, but this was something that seemed positively distinguished, " says Patti Ginsburg, HSC's president. HSC summarized those observations in a December  certain write-up, "A Widening Rift in Access and Quality. " Other vigorousness pains advocates and fiscal analysts not to indicate urban hospitals themselves also noticed multifarious of the very trends. These included: • Plenty of adroitness edifice in metropolitan areas, but construction that's spread unevenly between well-to-do areas and blighted areas • A growing discrepancy between the part of uncompensated watch over in urban centers compared with gentrifying and suburban areas • Poor checks ratings or no trammels ratings at all instead of multifarious inner borough hospitals • A squeezing of mighty pecuniary measurements such as days' gelt on influence • Aging fleshly plants and completely two options someone is concerned raising money to intensify or replace them. These trends are raising some alarms in the sanatorium community, and thought among experts in health pains invest in. "There are some mechanisms to repay the strain of uncompensated woe, but it's customarily not sufficient to fully neutralize hospitals in the service of the growing tax, " says Liz Sweeney, New York based principal of fitness solicitude ratings by reason of Standard & Poor's. "Their margins drop; they cause less realize rush, it becomes harder to put in in the informant, which makes it harder to allure patients with commercial insurance; it becomes harder to enlistee and soak up physicians. There's a snowballing
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