title: Reflections on a decade of funding public hospital systems.
abstract: As the nation embarks upon health reform, many questions remain unanswered. Important among them is the fate of public hospitals, which have historically cared for the uninsured. Under health reform, public hospitals will face marketplace competition to serve newly insured people. Can public hospitals change, so that they can survive and thrive in a competitive environment? This article describes lessons learned from a decade of funding by the California HealthCare Foundation to improve clinical care in California's public hospitals. It also identifies factors that will influence California's public hospitals in the coming months and years.
authors.affiliation: Learning Partnerships, Piedmont, CA, USA. rbrousseau@learningpartnershipsonline.net
authors.forename: Ruth
authors.initials: R
authors.lastname: Brousseau
authors.forename: Sophia
authors.initials: S
authors.lastname: Chang
mesh_terms: D002140:California; D002202:Capital Financing / Q000639:trends*; D004465:Economic Competition / Q000639:trends; D005544:Forecasting; D005582:Foundations / Q000191:economics / Q000639:trends; D005653:Fund Raising / Q000191:economics / Q000639:trends; D018166:Health Care Reform / Q000191:economics / Q000639:trends; D006297:Health Services Accessibility / Q000191:economics / Q000639:trends; D006301:Health Services Needs and Demand / Q000191:economics / Q000639:trends; D006779:Hospitals, Public / Q000191:economics* / Q000639:trends*; D006801:Humans; D008389:Marketing of Health Services / Q000191:economics / Q000639:trends; D058991:Patient Protection and Affordable Care Act / Q000191:economics / Q000639:trends; D011787:Quality of Health Care / Q000191:economics / Q000639:trends; D064876:Safety-net Providers / Q000191:economics / Q000639:trends; D014171:Transients and Migrants / Q000706:statistics & numerical data; D017664:Uncompensated Care / Q000191:economics / Q000639:trends
keywords: Access To Care; Chronic Care; Health Philanthropy; Health Reform; Quality Of Care; Safety-Net Systems