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PubMed1992

What are trusts allowed to do?

NHS trusts may not be a feature of the health services for ever, but current legislation will be applicable for some time to come. Legal aspects of trust status are described in two features. In the first, Anita Morrish identifies what trusts are legally empowered to do and those areas where their powers, if they exist, are less clearly defined.

Hospital Restructuring↗
PubMed1992

Public hospitals find long road to autonomy.

More public hospitals and systems are looking to be freed from ties to the governments that control them. They're hoping to achieve greater efficiency and more independence from governmental processes and political wrangling. But the very politics they seek to escape can play havoc with public hospitals' attempts to revamp longstanding relationships with their governmental sponsors.

Hospital Restructuring↗
PubMed1992

Local hospital systems: forerunners of regional systems?

Over the past several decades, the hospital industry has been undergoing a major organizational change that has until now been little examined. Local hospital systems (LHSs) are combinations of two or more hospitals that are in the same company and located in or around the same metropolitan areas in this country. This article presents the first detailed examination of the 402 such systems that have been identified to date. LHSs offer great potential for achieving the cost, quality, and access benefits that are often attributable to regional systems. The degree to which LHSs have attained some basic structural features expected of regional systems are examined. Differences are compared within ownership categories. Issues and challenges facing leaders in the field, should they hope to achieve the potential of regional systems, are discussed.

Catchment Area, Health↗