Hospitals and physicians: Not a pretty picture

Health Affairs

Volumn 26, Issue 1, 2007, Pages

  Goldsmith, Jeff ^a  

^a Health Futures Inc   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COMMUNITY CARE; CONFLICT; ECONOMICS; FINANCIAL MANAGEMENT; GROUP PRACTICE; HUMAN; INSURANCE; PATIENT REFERRAL; PUBLIC RELATIONS; REVIEW; SOCIAL BEHAVIOR; STATISTICAL MODEL; UNITED STATES;

CONFLICT (PSYCHOLOGY); FINANCIAL MANAGEMENT, HOSPITAL; GROUP PRACTICE; HOSPITAL-PHYSICIAN RELATIONS; HUMANS; MODELS, ECONOMIC; REFERRAL AND CONSULTATION; SOCIAL RESPONSIBILITY; UNCOMPENSATED CARE; UNITED STATES; UNIVERSAL COVERAGE;

EID: 33846659373     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.26.1.w72     Document Type: Review

References (18)

1. R.A. Berenson, P.B. Ginsburg, and J.H. May, "Hospital-Physician Relations: Cooperation, Competition, or Separation?" Health Affairs 26, no. 1 (2007): w31-w43 (published online 5 December 2006; 10.1377/hlthaff.26.1.w31).
2. K. Safavi, "By the Numbers: Emerging Trends in Hospital Services," Presentation to Forum for Healthcare Strategists, Las Vegas, Nevada, May 2006.
3. C. Smith et al., "National Health Spending in 2004: Recent Slowdown Led by Prescription Drug Spending," Health Affairs 25, no. 1 (2006): 186-196.
4. E.R. Dorsey, D. Jarjoura, and G.W. Rutecki, "Influence of Controllable Lifestyle on Recent Trends in Specialty Choice by U.S. Medical Students," Journal of the American Medical Association 290, no. 9 (2003): 1173-1178.
5. J. Goldsmith and N. Kaufman, "Between a Rock and a Hard Place: Physician Markets Create New Strategic Problems for Hospitals," COR Healthcare Market Strategist (November 2004).
6. Physicians have a suicide rate much higher than that of the general population. See E. Schernhammer, "Taking Their Own Lives - The High Rate of Physician Suicide," New England Journal of Medicine 352, no. 24 (2005): 2473-2476.
7. Regarding drug company "perks," see C. Elliott, "The Drug Pushers," Atlantic Monthly (April 2006): 82-93;
8. and G. Harris, "Drug Makers Are Still Giving Gifts to Doctors, F.D.A Officials Tell Senators," New York Times, 3 March 2006.
9. Regarding device companies' actions, see R. Abelson, "Possible Conflicts for Doctors Are Seen on Medical Devices," New York Times, 22 September 2005).
10. See Medicare Payment Advisory Commission, "Review of CMS's Preliminary Estimate of the Physician Update for 2006," chap. 9 in Report to the Congress: Medicare Payment Policy (Washington: MedPAC, June 2005), for a detailed discussion of the problem posed by Part B physician utilization trends and the policy implications.
11. H.T. Tu and P.B. Ginsburg, "Losing Ground: Physician Income, 1995-2003," Tracking Report no. 15 (Washington: Center for Studying Health System Change, June, 2006).
12. R. Pear, "White House Alters Plan to Make Large Cuts in Hospitals' Medicare Payments," New York Times, 2 August 2006.
13. See J.K. Iglehart, "The Uncertain Future of Specialty Hospitals," New England Journal of Medicine 352, no. 14 (2005): 1405-1407, for an analysis of the "whole hospital" exemption and its strategic importance for the development of specialty hospitals.
14. V. Galloro, "Running in Syndication," Modern Healthcare, 36, no. 26 (2006): 10.
15. See S.H. Altman, D. Shactman, and E. Eilat, "Could U.S. Hospitals Go the Way of U.S. Airlines?" Health Affairs 25, no. 1 (2006): 11-21, for a summary of this argument.
16. See G.R. Wilensky, "Viable Strategies for Dealing with the Uninsured," Health Affairs 6, no. 1 (1987): 33-46, for an estimate of the number of uninsured Americans in 1987.
17. R.C. Clark, "Does the Not-for-Profit Form Fit the Hospital Industry?" Harvard Law Review 93, no. 73 (1980): 1416-1489.
18. U.E. Reinhardt, "The Economics of For-Profit and Not-for-Profit Hospitals," Health Affairs 19, no. 6 (2000): 178-186.