{"id":"https://openalex.org/keywords/hospital-downsizing","display_name":"hospital downsizing","description":"The reduction of a hospital\u2019s size, capacity, staffing, or services as an organizational response to financial or health system changes.","display_name_alternatives":["hospital downsizing strategies","downsizing of hospitals","hospital size reduction","hospital capacity reduction"],"ids":{"openalex":"https://openalex.org/keywords/hospital-downsizing","wikidata":null},"primary_topic":{"id":"https://openalex.org/T13642","display_name":"Organizational Downsizing and Restructuring","score":0.2258,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T13642","display_name":"Organizational Downsizing and Restructuring","score":0.2258,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.1038,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.0921,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"works_count":312,"cited_by_count":3446,"works_api_url":"https://api.openalex.org/works?filter=keywords.id:keywords/hospital-downsizing","updated_date":"2026-10-17T04:06:27","created_date":"2026-09-30T00:00:00"}
