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Biomedical subjects

J B Couch

Publications and source records attributed to J B Couch.

23 records · Page 2Linked to original sources
PubMedDate not supplied

Forum: A remedy for outmoded medical education.

Director of Health and Medical Systems at a major teaching hospital and a medical educator himself, the author maintains that the current medical education system is producing physicians who are "societal and professional misfits." He sets forth a remedial action plan that stresses the interrelationships of medicine and other disciplines; quality assurance; utilization review; risk management; patient relations training; and cost containment. And he suggests that embracing, rather than avoiding, these concerns is the key to better quality of care and reduced costs.

Cost-Benefit Analysis↗
PubMedDate not supplied

Assessing medical care on the basis of its value.

As the health care industry moves rapidly toward the 1990s, the previously single-minded effort for cost containment has yielded to a loftier goal: ensuring quality of care. But quality of care in the 1990s will be assessed quite differently from that in the bygone era of essentially unrestrained technology and proliferation and consumption of medical resources. In the 1990s, more care will seldom, if ever, be regarded as better care. Assessing quality of care will require an answer to the question: "Has the provider achieved the best possible clinical outcome for the least cost to the patient and the system, as a whole?" In other words: "Has the provider been able to demonstrate that it has optimized the value of its services?".

Decision Making↗
PubMedDate not supplied

Management education for medical students.

There is little doubt that the economics, management, and delivery of health care in the United States are currently in an unprecedented state of flux. Prospective payment, cost containment, and corporatization of health care delivery are rapidly replacing retrospective fee-for-service reimbursement and unmanaged provider practice patterns. Though ultimately certain to affect significantly physicians now in training, these changes have been afforded little attention in the undergraduate medical curriculum. At Hahnemann University, this is no longer the case. "Management Education for Medical Students" is an elective, intensive, eight-week experience for senior medical students. Following a thorough orientation to the workings of organizations through which health care is delivered, medical students receive both didactic and project-oriented instruction in university hospital administration during the first four weeks. During the course's second half, students are offered specialized training in the part of medical management that links the clinical and the financial aspects of health care management.

Education, Medical↗