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Strategic stakeholder management. First round results from 'Facing the Uncertain Future'
J D Blair1, M D Fottler, S S Lazarus
1Institute for Management and Leadership Research, Texas Tech University, Lubbock 79409, USA.
Summary
The U.S. healthcare industry is shifting towards integrated delivery systems/networks (IDS/N). This transition is predicted to enhance cost-effectiveness and management quality, while potentially reducing access to advanced technology.
Area of Science:
- Healthcare Management
- Health Services Research
- Healthcare Policy
Background:
- The U.S. healthcare industry was undergoing significant changes in 1994.
- The study aimed to capture expert predictions for the industry's evolution.
Purpose of the Study:
- To forecast changes in the U.S. healthcare industry by 1999.
- To identify the impact of emerging healthcare models.
Main Methods:
- A modified Delphi study, "Facing the Uncertain Future," was employed.
- Preliminary results are based on 580 responses from healthcare experts.
Main Results:
- Anticipated shift from private insurance to integrated delivery systems/networks (IDS/N).
- Projected dominance of IDS/N components: medical practices, system hospitals, managed care organizations.
- Predicted effects include increased cost-effectiveness, administrative quality, and physician leadership, with potential decreases in advanced technology availability and service duplication.
Conclusions:
- Integrated delivery systems/networks (IDS/N) are poised to reshape the U.S. healthcare landscape.
- The study highlights potential benefits and drawbacks of this industry transformation.