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Related Experiment Videos

Hospital-physicians relations: cooperation, competition, or separation?

Robert A Berenson1, Paul B Ginsburg, Jessica H May

  • 1Urban Institute, Washington, DC, USA. rberenso@ui.urban.org

Health Affairs (Project Hope)
|December 7, 2006
PubMed
Summary
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Physicians are increasingly owning competing healthcare services, leading to tensions with hospitals over patient care and emergency department call. This trend erodes collaboration despite expectations for increased partnerships in healthcare.

Area of Science:

  • Healthcare management
  • Health economics
  • Medical practice dynamics

Background:

  • Shift of medical services from inpatient to ambulatory settings.
  • Physician ownership of competing healthcare entities.
  • Emergence of a competitive dynamic between hospitals and physicians.

Purpose of the Study:

  • To analyze the growing tensions between hospitals and physicians.
  • To investigate the impact of ambulatory care shifts on hospital-physician relationships.
  • To examine the erosion of collaboration in healthcare markets.

Main Methods:

  • Analysis of market dynamics in healthcare.
  • Assessment of physician reluctance for emergency department call.
  • Evaluation of hospitalist impact on inpatient care.

Related Experiment Videos

  • Review of collaborative expectations versus market realities.

    • Main Results:

    • Physicians are establishing competing entities, creating a 'medical arms race'.
    • Increased reluctance for emergency department call and rise of hospitalists exacerbate tensions.
    • Despite expectations, hospital-physician collaboration is declining in many markets.

    Conclusions:

    • The shift to ambulatory care and physician-led competition is straining hospital-physician relationships.
    • Existing healthcare challenges are not fostering, but rather eroding, collaboration.
    • Urgent strategies are needed to address declining hospital-physician cooperation.