What physicians owe hospitals: an overview.
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Biomedical subjects
Publications and source records attributed to M K DuVal.
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Voluntary hospitals must develop increasingly businesslike strategies to survive in today's market-driven health care system. While challenging and necessary, this behavior is stirring fears that the time-honored mission of these hospitals will be seriously undermined. Noting that the voluntary tradition leavens the competitive marketplace, the authors suggest that we have much to lose if voluntary not-for-profit hospitals no longer play a leading role in the health care system, including: needed services to all classes of patients, paying and nonpaying; an important locus of community expressions of compassion and charity; and the settings that have inspired the vision of what medicine and health care can accomplish for mankind.
Low cost health care, available to all, is a fundamental goal of our system; a goal which is reflected in our government's programs. We have been successful in providing high quality care to all--so successful that many non-medical social problems are now characterized as medical problems. However, as society's already high expectations of the medical field increase--so do the costs--dramatically. The solution to high costs especially for nonprofit hospitals may lie in the multi-hospital system movement, a management design which concentrates on saving money by uniting hospitals on various levels. This efficient management style may be an alternative to government provided health care.
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Over an eight-year period, 707 students from minority groups or with economically disadvantaged backgrounds were selected from junior and senior-high-school classes throughout the state of Arizona and admitted to a Med Start program emphasizing careers in the health professions. The program featured recruitment into clubs, training in leadership, counseling by other minority students, work experience and specialized courses in English, mathematics and basic biologic sciences. Attrition was remarkably low. At the time of follow-up study, 369 of these students had sought further education beyond high school, and 220 of this group had enrolled in or completed health-education programs. Although obviously not a controlled experiment, this experience suggests that the pool of minority and economically disadvantaged applicants for careers in the health professions can be enlarged.
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