title: Six hospitals describe decentralization, cost containment, and downsizing.
abstract: Decentralization, cost containment, and downsizing continue in full force as healthcare organizations continue to adapt to constant economic change. Hospitals are forced to take a second and third look at how health care is managed in order to survive. Six Northwest Florida hospitals were surveyed in an effort to explore current changes within the healthcare delivery system. This article provides both managers and staff with an overview of recent healthcare changes in an area of the country with implications for staff development.
authors.affiliation: Bay Area Medical Center, Corpus Christi, Texas, USA.
authors.forename: L A
authors.initials: LA
authors.lastname: Lineweaver
authors.forename: C E
authors.initials: CE
authors.lastname: Battle
authors.forename: R M
authors.initials: RM
authors.lastname: Schilling
authors.forename: C M
authors.initials: CM
authors.lastname: Nall
mesh_terms: D001291:Attitude of Health Personnel; D003363:Cost Control; D003659:Decision Making, Organizational; D005431:Florida; D017721:Hospital Costs / Q000458:organization & administration*; D006754:Hospital Restructuring / Q000458:organization & administration*; D006801:Humans; D020380:Needs Assessment; D009718:Nurse Administrators / Q000458:organization & administration / Q000523:psychology*; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009936:Organizational Innovation; D020415:Personnel Downsizing / Q000458:organization & administration*; D013192:Staff Development; D011795:Surveys and Questionnaires