Biomedical subjects
Publications and source records attributed to R H Rosenfield.
The U.S. health care delivery system is undergoing precipitate reorganization. The focus of medical care is shifting to group practice, away from the work of individuals. This chapter surveys this reorganization, presenting a review of the system beforehand, examining hospital-affiliated group practices, and posing questions about the impact the emerging system may have on physician-hospital relationships.
This article describes organizational forms of physician joint ventures. Four models are described that typify physician involvement in health care joint ventures: limited partnership syndication, venture capital company, provider network, and alternative delivery system. Important practical issues are discussed.
The new competitive environment and the recent application of antitrust laws to the health care industry are changing the way in which hospitals do business. This article explores the applicability of antitrust laws to health care, common practices which may be considered in violation of those laws, and offers a solution to the problem in the form of an antitrust compliance monitoring program.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Healthcare executives throughout the country are losing confidence that their organizations can remain viable without significant organizational change. Now is the time to review principal trends in this area--conversions and partnerships--and to assess how well particular arrangements seem to be working.
Market forces are destroying the traditional hospital/physician relationship and replacing it with something far better suited to a price-sensitive environment marked by severe excess capacity. Many hospitals are exploring ways to alter a hospital/physician relationship that has survived--more of less unchanged--for nearly 70 years. Managing change of this magnitude is a difficult task and many hospital/physician communities have been seriously divided by resulting conflicts. On the other hand, a price competitive environment frequently rewards innovation and leadership and penalizes conservatism. Charting a course in these troubled waters is a challenge for healthcare executives, but if we are successful in managing this change, our facilities, our communities and our patients will benefit.