New Health Care for Profit : Doctors and Hospitals in a Competitive Environment.

New Health Care for Profit : Doctors and Hospitals in a Competitive Environment.

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Bibliographic Details
Main Author: Gray, Bradford H.
Format: eBook
Language:English
Published: Washington : National Academies Press, 1982.
Subjects:
Health facilities, Proprietary > United States.
Medical corporations > United States.
Hospitals, Proprietary.
Hospitals.
Health facilities.
Health facilities, Proprietary.
Medical ethics.
Medical care.
Medical economics.
Hospitals > Business management.
Hospitals > Administration.
Economics.
Health services administration.
Organization.
Professional ethics.
Humanities.
hospitals (institutions, health facility)
health facilities.
economics.
professional ethics.
humanities.
Professional ethics
Organization
Medical ethics
Medical economics
Medical care
Humanities
Hospitals, Proprietary
Hospitals > Business management
Hospitals > Administration
Hospitals
Health services administration
Health facilities
Economics
Health facilities, Proprietary
Medical corporations
North America.
North America
United States
Online Access:Click for online access
Table of Contents:
  • The New Health Care for Profit; Copyright; Preface; Contents; An Introduction to the New Health Care for Profit; THE CHANGING HEALTH CARE ENVIRONMENT; PROFESSIONAL AUTONOMY, TRUST, AND HEALTH POLICY; IMPLICATIONS OF THE CURRENT CHANGES IN FOR-PROFIT HEALTH CARE; THE INSTITUTE OF MEDICINE PROJECT; CONCLUSION; REFERENCES AND NOTES; Legal Differences Between Investor-Owned and Nonprofit Health Care Institutions; ORGANIZATIONAL DIFFERENCES; Investor-Owned Hospitals; Nonprofit Hospitals; FINANCIAL DIFFERENCES; Tax Exemptions; Reimbursement Factors; Sources of Capital.
  • Restrictions On Transfers of PropertyOTHER LEGAL DIFFERENCES; CONCLUSION; REFERENCES AND NOTES; Wall Street and the For-Profit Hospital Management Companies; ANALYSTS' SOURCES OF INFORMATION; FINANCIAL ANALYSES OF COMPANIES; THE IMPORTANCE OF STOCK PRICES TO THE COMPANIES; REASONS FOR SUCCESS OF THE HOSPITAL MANAGEMENT COMPANIES; DIFFERENCES AMONG COMPANIES; ACQUISITIONS; MAKING HOSPITALS HEALTHIER; OUTLOOK FOR THE FUTURE; REFERENCES AND NOTES; When Investor-Owned Corporations Buy Hospitals: Some Issues and Concerns; THE FIVE CASES; County Hospital A; County Hospital B; Doctors Hospital.
  • Osteopathic HospitalSuburban County Hospital; MAJOR ISSUES; Control; Job Security and Benefits; Plant and Equipment; Charges for Care; Quality of Care; Admission Policies; Buy-Back Provision; THE PROCESS; CONCLUSIONS; Appendix Principal Interviews Conducted for This Paper ; Physician Involvement in Hospital Decision Making; A TYPOLOGY OF HOSPITAL DECISION MAKING; CONVERGENCE VERSUS DIVERGENCE OF INTERESTS; THE DECISION MAKERS; The Dual Authority Model; The Shared Authority Model; STRAIN AMONG DECISION MAKERS AND BETWEEN THE TWO MODELS; TYPES OF PHYSICIAN DECISION-MAKING INVOLVEMENT.
  • HOSPITAL/PHYSICIAN DECISION MAKING AND THE COST AND QUALITY OF CAREEvidence Regarding Costs; Evidence Regarding Quality; Evidence Regarding Possible Trade-Offs Between Cost and Quality; FUTURE ISSUES; The Changing Context of Clinical Decision Making; The Changing Context of Institutional Decision Making; The Demise of the Voluntary Medical Staff; Factors Promoting or Impeding Shared Decision-Making Models; SUMMARY; REFERENCES AND NOTES; Economic Incentives and Clinical Decisions; MODELS OF CLINICAL DECISION MAKING; INCENTIVES FROM THE PERSPECTIVE OF THE PHYSICIAN AND THE ECONOMIST.
  • Incentives and the Use of TechnologyPayment and Practice Setting Incentives; Individual versus Collective Patterns of Practice; SUMMARY AND CONCLUSIONS; REFERENCES; Ethical Dilemmas of For-Profit Enterprise in Health Care; HISTORY OF THE ETHICS CONTROVERSY; The International Context; The American Medical Association; Advertising; Patents; Dispensing Pharmaceuticals and Receiving Rebates; Fee Splitting; Ownership of Health Facilities and Corporate Relations; A SUMMARY OF THE PROFESSIONAL PHYSICIAN STANCE; Basic Principles of the Professional Stance; Service to the Patient.

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