|Quoting DocLightning (Reply 8):|
The megahospital needs to be located somewhere, which will be convenient for people close to it and really inconvenient for people who used to use the smaller hospitals.
It's logical that part of the need for a hospital is location - generating ease of access and treatment. The time required for an ambulance to get to a hospital is always going to be a critical factor. The time it takes parents-to-be to the hospital will always be an important factor.
It all gets down to the nature of the US, where cars and expressways establish the viability of a general hospital. Even the ease of parking at a hospital can be a factor these days.
As for specialized hospitals, our general hospitals work hard to establish reputations in various specialties. There is, however, only one major burn unit in the town. One major Children's Hospital although the other hospitals have Pediatric wards.
The problem I personally encountered when going to a "nationally recognized cancer center" was a refusal to work with my insurance company and a requirement to bring $14,300.00 with me to the "first appointment" - when I was going for a second opinion, with path reports, PET/CT Scan images and slides pre-delivered. Concentrated speciality centers can easily result in financial centers. At least more so than your normal local hospital.