Consequences of Physicians' Ownership of Health Care Facilities — Joint Ventures in Radiation Therapy

New England Journal of Medicine

Volumn 327, Issue 21, 1992, Pages 1497-1501

  Mitchell, Jean M ^a,b   Sunshine, Jonathan H ^c  

^a GEORGETOWN UNIVERSITY   (United States)

^b FLORIDA STATE UNIVERSITY   (United States)

^c AMERICAN COLLEGE OF RADIOLOGY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CANCER MORTALITY; CANCER RADIOTHERAPY; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH INSURANCE; LAW; PATIENT REFERRAL; PHYSICIAN; PRIORITY JOURNAL; QUALITY CONTROL; UNITED STATES;

EID: 0026489433     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJM199211193272106     Document Type: Article

References (29)

1. Financial arrangements between physicians and health care businesses: report to Congress. Bethesda, Md.: Department of Health and Human Services, Office of Inspector General, 1989.
2. Financial arrangements between physicians and health care businesses: state laws and regulations. Bethesda, Md.: Department of Health and Human Services, Office of Inspector General, 1989.
3. Mitchell JM, Scott E. New evidence of the prevalence and scope of physician joint ventures. JAMA 1992; 268: 80–4.
4. Iglehart JK. The debate over physician ownership of health care facilities. N Engl J Med 1989; 321: 198–204.
5. Relman AS. Dealing with conflicts of interest. N Engl J Med 1985; 313: 749–51.
6. Waldholz M, Boganich W. Warm bodies: doctor-owned labs earn lavish profits in a captive market. Wall Street Journal. February 27, 1989: A1.
7. Pear R, Eckholm E. When healers are entrepreneurs: a debate over costs and ethics. New York Times. June 2, 1991: A1, A17.
8. Iglehart JK. Congress moves to regulate self-referral and physicians' ownership of clinical laboratories. N Engl J Med 1990; 322: 1682–7.
9. Rosenfeld RH. Market forces set off skyrocketing interest in hospital-doctor joint ventures. Modern Healthcare. May 1, 1984; 14: 60–4.
10. Physicians and entrepreneurism in health care. In: Gray BH, ed. For-profit enterprise in health care. Washington D.C.: National Academy Press, 1986: 151–70.
11. Hillman BJ, Joseph CA, Mabry MR, Sunshine JH, Kennedy SD, Noether M. Frequency and costs of diagnostic imaging in office practice — a comparison of self-refeiring and radiologist-referring physicians. N Engl J Med 1990; 323: 1604–8.
12. Schroeder SA, Showstack JA. Financial incentives to perform medical procedures and laboratory tests: illustrative models of office practice. Med Care 1978; 16: 289–98.
13. Hemenway D, Killen A, Cashman SB, Parks CL, Bicknell WJ. Physicians' responses to financial incentives: evidence from a for-profit ambulatory care center. N Engl J Med 1990; 322: 1059–63.
14. Epstein AM, Begg CB, McNeil BJ. The use of ambulatory testing in prepaid and fee-for-service group practices: relation to perceived profitability. N Engl J Med 1986; 314: 1089–94.
15. Manning WG, Leibowitz A, Goldberg GA, Rogers WH, Newhouse JP. A controlled trial of the effect of a prepaid group practice on use of services. N Engl J Med 1984; 310: 1505–10.
16. Mitchell JM, Scott E. Joint ventures among health care providers in Florida. Vol. 2. Contract report for the Florida Health Care Cost Containment Board, September 1991. Tallahassee: State of Florida, 1991.
17. Sunshine JH, Bansal S. Operational, professional, and business characteristics of radiology groups in the United States. Radiology 1992; 183: 535–40.
18. Kramer S, Diamond JJ. The patterns of care study in clinical radiation therapy — a retrospective assessment of quality of care. Stat Med 1984; 3: 353–7.
19. Hanks GE, Kramer S. Quality assurance in radiation therapy: clinical and physical aspects: consensus of best current management: the starting point for clinical quality assessment. Int J Radiat Oncol Biol Phys 1984; 10: Suppl 1: 87–97.
20. Kramer S. The patterns of clinical care in radiation therapy in the United States. Int J Radiat Oncol Biol Phys 1984; 10: Suppl 1: 49–53.
21. Fuchs VR. The supply of surgeons and the demand for operations. J Hum Resour 1978; 13: Suppl: 35–56.
22. Wilensky GR, Rossiter LF. The relative importance of physician-induced demand in the demand for medical care. Milbank Mem Fund Q Health Soc 1983; 61: 252–77.
23. Physicians' current procedural terminology. Chicago: American Medical Association, 1990.
24. Medicare program: fee schedule for radiologist services. Fed Regist 1989; 54(40):8894–9023.
25. Ries LAG, Hankey BF, Miller BA, Hartman AM, Edwards BK. Cancer statistics review 1973–1978. Bethesda, Md.: National Cancer Institute, 1991. (NIH publication no. 91–2789.)
26. Morrison D, Henkle R. The significance test controversy. Bolente, Tex.: Aldin Publishing, 1970.
27. Schwade JG. Supplemental material to testimony on joint ventures in radiation therapy presented to the Subcommittees on Health and Oversight, Committee on Ways and Means, U.S. House of Representatives, October 17, 1991.
28. Council on Ethical and Judicial Affairs, American Medical Association. Conflicts of interest: physician ownership of medical facilities. JAMA 1992; 267: 2366–9.
29. The President's Comprehensive Health Reform Program. Washington, D.C.: The White House, 1992:68.