Question

What are the three main forces that have been responsible for hospital downsizing? How has each of these forces been responsible for the decline in inpatient hospitalization?

Include in your discussion your vision for future changes in the ways that services are delivered

Answer 1

The three main forces that have heen resboncible for hocpital douonsizing are l) Changes in Hacpital Reimburcement- This had the most he dve ebed, on hospita山. Tax Equing and Fiscal Resbonsibilly hocpital Riedticare reimburxcement from Cosf-plus fo a prospectve payment system had major chonge i'n the hoay hospitals were paur'd lor Several states adopteod prosbective muthods to reimbune hospitals kor Medicaid enrollees. Privaセ Ac CTEFRA) of 1182 convenio payex alho resorted to Compettive pung and dicont ees and nuonitored and ono long pat ents oould be hos pitalned 2) Rural Hospital Llosures (19903) hu small rurat hospitals had to clare because o etononic conshrain Hospita tt Rad to close entre ih an Convert beds to long term care and Health Core inanung Adminlctraltion (HCEA) created a shoing bed rorom or ural hasprtats 3) Dnpat of Manage Care-(99o) Impotent care car and (managed care has emphasiてed altenatve delivery etingt uch as outpatrent treatment, home eatth čare and the use 6 hursing home. Thi's has had major impack on limithg the utilizaton of Inpatent senices and dopn sizing indluidu