What your physicians want. Hospitals try to solve the age-old mystery

Healthcare Alabama
|August 5, 1996
PubMed

Insights

The hospital-physician relationship, once strong, is strained by healthcare changes and lower reimbursements. However, managed care and risk contracting now incentivize closer collaboration between hospitals and medical staff.

Area of Science:

  • Healthcare Management
  • Health Services Research
  • Medical Economics

Background:

  • Historically, physicians were viewed as key clients by hospitals.
  • Declining healthcare reimbursements and evolving industry dynamics have negatively impacted hospital-physician relationships.
  • Current healthcare trends introduce new challenges and opportunities for these partnerships.

Purpose of the Study:

  • To analyze the evolving dynamics of the hospital-physician relationship.
  • To explore the impact of managed care and risk contracting on this relationship.
  • To identify incentives for enhanced collaboration between healthcare facilities and medical staff.

Main Methods:

  • Literature review of healthcare economic trends.
  • Analysis of policy changes affecting provider reimbursements.
  • Examination of managed care and risk contracting models.

Main Results:

  • Dwindling reimbursements have strained traditional hospital-physician alliances.
  • Managed care and risk contracting introduce significant uncertainty into the relationship.
  • These factors also create a strong incentive for greater alignment and cooperation.

Conclusions:

  • The hospital-physician relationship is undergoing significant transformation.
  • Adapting to managed care and risk contracting is crucial for future collaboration.
  • Strategic alignment can lead to improved healthcare delivery and operational efficiency.

Related Concept Videos

Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare: