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Crisis in Health Care
February 2001

The Health Care Crisis: Impact on Surgery in the Community Hospital

Author Affiliations

From the Department of Surgery (Drs Welling, Kerlakian, Weinberg, and Albers), Administration (Messrs von Zychlin and Prout), and Medical Education and the E. Kenneth Hatton, MD, Institute for Research and Education (Dr Saladin), Good Samaritan Hospital, Cincinnati, Ohio.

Arch Surg. 2001;136(2):176-179. doi:10.1001/archsurg.136.2.176

The multiple market forces affecting community hospitals are varied based on the geographic region of the country, the penetration of managed care, and the missions of individual community hospitals. There is not "one generic community hospital." Rather, they exist for different reasons. For most community hospitals, the mission is to provide health care to residents in the surrounding area. However, an important differentiating factor is whether the community hospital has a dual mission to support graduate medical education (GME).

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