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Related Experiment Videos

Shared planning: a new foundation for quality criteria.

J A Green

    Physician Executive
    |April 9, 1989
    PubMed
    Summary

    The healthcare liability crisis presents an opportunity to explore market-based solutions. These approaches could align consumer desires and physician expertise, making quality a market demand rather than a regulatory mandate.

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    Area of Science:

    • Healthcare policy
    • Medical economics
    • Health services research

    Background:

    • The healthcare industry faces a significant
    • liability crisis
    • prompting a need for innovative solutions.
    • Current regulatory approaches to medical quality may be insufficient.

    Purpose of the Study:

    • To explore the potential of market mechanisms in healthcare decision-making.
    • To investigate how consumer values and physician preferences can be integrated into quality assessment.
    • To propose an alternative to professional regulation for achieving medical quality.

    Main Methods:

    • Conceptual analysis of market dynamics in healthcare.
    • Exploration of consumer-driven quality improvement models.
    • Discussion of the role of bargaining in healthcare service procurement.

    Main Results:

    • Market mechanisms can potentially align consumer desires with physician capabilities.
    • Quality in medicine can be viewed as a market outcome driven by demand.
    • Shifting focus from defining quality to ensuring its provision through market forces.

    Conclusions:

    • The liability crisis offers a unique opportunity to rethink healthcare quality assurance.
    • Market-based approaches may provide a more effective way to achieve desired medical quality.
    • Quality should be a negotiated outcome of healthcare services, not solely a product of regulation.

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