Public Service community life conclusion.
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The study sought to provide a comprehensive profile and analysis of the characteristics, patient experience and community value of community hospitals. In this chapter, we discuss and conclude findings from across the different elements of the study that, together, addressed this central aim. In doing so, we provide new understandings of these different aspects of community hospitals that we suggest go beyond the questions of what a community hospital is, and how it is experienced, supported and valued, to make a significant and original contribution to understandings of what community hospitals mean.
The study sought to provide a comprehensive profile and analysis of the characteristics, patient experience and community value of community hospitals. In this chapter, we discuss and conclude findings from across the different elements of the study that, together, addressed this central aim. In doing so, we provide new understandings of these different aspects of community hospitals that we suggest go beyond the questions of what a community hospital is, and how it is experienced, supported and valued, to make a significant and original contribution to understandings of what community hospitals mean.What is a community hospital?
The study sought to provide a comprehensive profile and analysis of the characteristics, patient experience and community value of community hospitals. In this chapter, we discuss and conclude findings from across the different elements of the study that, together, addressed this central aim. In doing so, we provide new understandings of these different aspects of community hospitals that we suggest go beyond the questions of what a community hospital is, and how it is experienced, supported and valued, to make a significant and original contribution to understandings of what community hospitals mean.What is a community hospital?Community hospitals have evolved over time to become a diverse set of institutions that present a challenge to any attempt to define, categorise or map them. Our initial attempts to develop a definition based on a comparison of inpatient metrics, population characteristics and service provision found that community hospitals were distinct from other types of hospitals through the contribution of GPs and rurality and were typically smaller than acute and DGHs. Beyond these aspects, however, we were not able to identify a definitive set of metrics to determine what should and should not be considered a community hospital. Instead, it was necessary to combine these top-down data with experiential, ‘bottom up’, evidence gathered from community hospital leaders and websites. Bringing these sources together enabled the development of a more comprehensive and inclusive set of defining characteristics, retaining and revising some features identified within earlier definitions12,20–22,103,104 (e.g. size, rurality, length of stay, GP leadership), removing others (e.g. population size, localness) and adding new ones (e.g. lack of 24/7 onsite medical cover).