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Physicians and Hospitals

The Great Partnership at the Crossroads

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Pages: 224

Published: March 1985

Editors: Duncan Yaggy and Patricia Hodgson

Contributors: William G. Anlyan, M. D., Andrew Wallace, John D. Thompson, Rosemary A. Stevens, C. Rollins Hanlon, David M. Kinzer, J. Alexander McMahon, James H. Sammons, Paul M Ellwood, David J. Ottensmeyer, Stanley R. Nelson, Joseph F. Boyle, Clark C. Havighurst, Paul Rogers, Michael Bromberg, Donald S. MacNaughton, Uwe E. Reinhardt, Alain C. Enthoven, Eli Ginzberg, and Alan R. Nelson

Physicians and Hospitals addresses an issue of concern and one of fundamental importance to the American health care system. While the ranks of physicians continue to swell and hospitals continue to expand their facilities, federal, state, and local governments remain determined to control health care expenditures. As a result, checks on the supply of services and facilities have been implemented that strain the physician-hospital relationship, often placing physicians and hospital administrations in conflict. The implications for American health care are the subject of disagreement and vigorous debate.

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Table Of Contents

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Foreword / William G. Anlyan vii

List of Participants xi

1. The Cybernetics of Our System / Andrew G. Wallace 1

2. The Uneasy Alliance / John D. Thompson 11

Response / Rosemary A. Stevens 20

Response / C. Rollins Hanlon 23

Discussion 24

3. Physicians and Hospitals: Tensions in the Relationship / David M. Kinzer 29

Response / J. Alexander McMahon 51

Response / James H. Sammons 53

Discussion 56

4. Four Pathways for Hospitals and Physicians: Introduction / Paul M. Ellwood Jr. 75

1984 and Beyond: Physicians and Hospitals in a New Era / David J. Ottensmeyer 79

Henry Ford Hospital: A Hospital-Sponsored Medical Group / Stanley R. Nelson 85

Doctors Create a Corporation to Deal with a Hospital / Joseph F. Boyle 90

Doctors and Hospital Form a Cooperative Organization / Paul M. Ellwood Jr. 97

Discussion 105

5. The Structure of Hospital-Physician Relationships: The Interplay of Law and Policy / Clark C. Havighurst 113

Response / Paul Rogers 139

Response / Michael Bromberg 140

Discussion 143

6. A New Partnership: Physicians, Hospitals, and Their Customers / Donald S. MacNaughton 147

Response / Uwe E. Reinhart 155

Response / Alain Enthoven 159

Discussion 163

7. Summary I / Eli Ginzberg 171

Summary II / Alan Nelson 177

Discussion 182

Index 199

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Hardcover ISBN: 978-0-8223-0639-9 / eISBN: 978-0-8223-9938-4 /