Accession Number : ADA184676

Title :   How Do We Turn This Thing Off? A Study to Determine an Approach for Making Curtailment of Service and Closure Decisions in Health Care Facilities.

Descriptive Note : Rept. for Jul 78-Apr 79,

Corporate Author : ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE STUDIES DIV

Personal Author(s) : Maxwell,Clarence E

PDF Url : ADA184676

Report Date : 09 Apr 1979

Pagination or Media Count : 122

Abstract : 'How Do We Turn This Thing Off' is a problem solving project to determine an approach for making curtailment of service and closure decisions for Department of Defense hospitals. The need for curtailing services or closing hospitals has been precipitated in both the civilian and military health care setting by numerous factors. Discussion is provided concerning governmental controls of health care planning, sizing of hospitals, sharing services, and competition for resources. In analysis, it would appear that an approach to decision making for curtailing or closing hospitals should be developed. A key factor which is pointed out in this project is the difference which exists between the civilian health care sector and the military health care system. These differences, especially the wartime mission of the military, make applications of proposed civilian techniques such as appropriateness review in its pure form somewhat unacceptable to the military health care settings. A holistic, system approach is envisioned and proposed which analyzes the capabilities of the various hospitals, the needs for the larger military health care system and the situation at the specific hospital(s) in question. An overview to this proposed approach to decision making is provided in a conceptual model.

Descriptors :   *HEALTH CARE FACILITIES, *MANAGEMENT PLANNING AND CONTROL, MEDICAL SERVICES, MILITARY MEDICINE, DEPARTMENT OF DEFENSE, MILITARY FACILITIES, PERSONNEL MANAGEMENT, DECISION MAKING, CLOSURES, HOSPITALS, THESES, SYSTEMS APPROACH

Subject Categories : Administration and Management
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE