The Implications of Urban Social and Economic Realities on Strategic Management of Hospitals

Abstract
As Ontario embarks on restructuring its health care system and realigning resources to meet population-based needs, health care providers and planning agencies need to link epidemiological data (a community's socioeconomic, demographics and health status) and assess its implications on hospital utilization trends. A fundamental challenge for hospitals and other providers is to “know their communities” along these lines. This article summarizes the results of a multidimensional review of a section of a large urban community and integrates it with utilization of acute inpatient beds. General observations are offered for policy makers and hospital management.