Hospital care has experienced a decline over the years. The textbook outlines how hospitals have declined and their utilization rates have decreased. Several factors were outlined in the textbook that led to the decline in hospital services. Name the main forces that were responsible for hospital downsizing. How did each of these factors affect the decline in inpatient hospital utilization?

Book: Delivering Health Care in America: A Systems Approach 8th Edition

Make sure that you cite any sources used correctly with APA