|
The New York City Health and Hospitals Corporation (HHC) operates the public hospitals and clinics in New York City. A public benefit corporation with $6.7 billion in annual revenues, HHC is the largest municipal healthcare system in the United States serving 1.4 million patients, including more than 475,000 uninsured city residents.〔(HHC Website )〕 HHC was created in 1969 by the New York State Legislature as a public benefit corporation (Chapter 1016 of the Laws 1969).〔("The History of New York City's Municipal Hospitals," HHC Foundation Web Site )〕〔(Answers.com, New York City Health and Hospitals Corporation )〕 It is similar to a municipal agency, but has a Board of Directors. It operates 11 acute care hospitals, five nursing homes, six diagnostic and treatment centers, and more than 70 community-based primary care sites, serving primarily the poor and working class. HHC's own MetroPlus Health Plan is one of the New York area's largest providers of government-sponsored health insurance and is the plan of choice for nearly half a million New Yorkers. 〔(Metroplus )〕 Each year HHC's facilities provide about 225,000 admissions, one million emergency room visits and five million clinic visits to New Yorkers. HHC facilities treat nearly one-fifth of all general hospital discharges and more than one third of emergency room and hospital-based clinic visits in New York City.〔(HHC, Answers.com )〕 The most well-known hospital in the HHC system is Bellevue Hospital, the oldest public hospital in the United States. Bellevue is the designated hospital for treatment of the President of the United States and other world leaders if they become sick or injured while in New York City.〔(Funding Universe Web Site )〕 The president of HHC is Ramanathan Raju, MD, a surgeon and former CEO of the Cook County health system in Illinois.〔http://www.wnyc.org/story/ceo-chicago-public-hospitals-take-helm-hhc/〕 ==History== In 1736, HHC’s oldest hospital, Bellevue Hospital was founded as an infirmary for smallpox and other contagious diseases on the top floor of a public workhouse and jail. Bellevue Hospital was formally named in 1825. At the turn of the 20th century, Bellevue’s medical college merged with University Medical College into what would later become the New York University College of Medicine. In 1920, Bellevue founded the Children's Psychiatric Service, the first program in the United States devoted to the study of child autism and training child psychiatrists. Bellevue continues to provide through this day comprehensive pediatric services and renowned psychiatric services, as well as highly regarded emergency and trauma services. Bellevue remains the principal teaching hospital for its affiliated New York University School of Medicine. HHC’s other hospitals were founded in the late 19th century and early-to-mid-20th century.〔 In 1965, Medicare and Medicaid were created and quickly accounted for 86 percent of the income received by the municipal hospital system. Patients with private insurance opted to use private hospitals and Medicaid raised its eligibility. As a consequence, New York City hospitals saw patient numbers and funding decline precipitously. According to a 1967 study just two years later, the conditions and quality of care at public hospitals in New York City were deplorable.〔 In 1969, New York City created HHC to replace its Department of Hospitals operating city hospitals and other health care facilities. HHC was formed as a quasi public agency to enable it to benefit from private revenues and funding. HCC’s fiscal condition nevertheless has varied periodically since its formation, and it has gone through periods of instability.〔 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「New York City Health and Hospitals Corporation」の詳細全文を読む スポンサード リンク
|