Hospitals during recession and recovery: vulnerable institutions and quality at risk.
For generations, American hospitals have been considered recession-proof, but there is reason to believe the current economic crisis is an exception. Hospitals have shown declining financial margins and decreased admissions. The severe recession has adversely affected many hospitals' finances, creating a risk of closure and constraining plans for expansion. We believe there is also a risk of harming clinical quality, through decreased staffing that may limit the momentum of the hospital quality movement, especially in fiscally vulnerable institutions. We consider ways the federal government could aid hospitals by promoting hospital quality while providing employment.
Robert Wood Johnson Clinical Scholars Program, University of Michigan, Ann Arbor, Michigan, USA. jeremysu@med.unich.edu
Jeremy B
JB
Sussman
Lakshmi K
LK
Halasyamani
Matthew M
MM
Davis
D003153:Community Health Services / Q000191:economics / Q000592:standards / Q000639:trends; D057172:Economic Recession / Q000639:trends; D006761:Hospitals / Q000592:standards* / Q000639:trends; D006801:Humans; D011787:Quality of Health Care / Q000191:economics* / Q000592:standards* / Q000639:trends; D012306:Risk