Abstract
ACCORDING TO THE 1986 edition of the American Hospital Association's Hospital Statistics , in 1985 there were 1616 state and local government-owned short-term general and "other" (excluding tuberculosis, respiratory disease, and psychiatric) hospitals in the United States. Their average occupancy was 62.8%—not significantly different from the national average for all hospitals. Although there were only seven public tuberculosis and respiratory disease hospitals left in the country, there were still 34 state and local short-term psychiatric facilities and 226 state and local long-term psychiatric hospitals. Public hospitals continue to struggle with the burden of patients for whose care reimbursement is inadequate or nonexistent. A report by Dun & Bradstreet Credit Services in 1986 found that "state, county, and municipal hospitals saw the sharpest revenue drop of all [health care] industry segments" in 1985 (News at Deadline, Hospitals , 1986; 60[Nov 5]:17). A1985 joint study by the AHA and the Urban Institute found that
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