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PubMedDate not supplied

Supply and demand for radiation therapists: a United States perspective for 1997-2002.

The purpose of this paper is to review the current and future employment plans of radiation therapists and administrators that employ them so that the supply and demand for these individuals is quantified. The survey was funded by the American Society of Radiologic Technologists and implemented by the Task Force on Human Resources. In April 1997 a questionnaire was mailed to a sample of radiation therapy administrators identified by the mailing list of the Society of Radiation Oncology Administrators (SROA). Another questionnaire was mailed to a sample of radiation therapists holding active certificates with the American Registry of Radiologic Technologists. Results of the survey indicated an increased demand for radiation therapists based on plans for facility expansion. Individuals anticipating retirement in the next five years ranged from 7% of the radiation therapists and 12% of the administrators surveyed. A model was developed which projected a shortfall of therapists ranging from 0% (-13 positions) in 1998 to 3% (-403 positions) projected for 2002. The paper concludes that the supply of radiation therapists did not meet the demand in the time period measured; 1998-2002. An increase in newly educated radiation therapists is needed to fill the openings created by those leaving the field. The survey should be repeated at successive intervals to accurately track and project both the supply of and the demand for radiation therapists.

Administrative Personnel↗
PubMed1999

Physician unionization: a threat to integration?

Physicians, primarily those salaried by hospitals and health systems, are increasingly turning to labor unions to help them in their frustration over what they see as eroding clinical autonomy as well as diminishing compensation. Significantly, non-salaried physicians are also looking to the concept of collective bargaining as a tool in their negotiations with health insurers. The pro-labor doctors may get some of what they're looking for in the coming months and years, with a combination of economic and political forces driving the nascent trend forward regionally and nationwide. But victory won't come without a struggle and some major legal and regulatory hassles. And what will physician unionization mean for integrated health systems and other large healthcare organizations? Plenty, say industry observers and those in the trenches.

American Medical Association↗
PubMedDate not supplied

The algebra of healthcare reform: hospital-physician economic alignment.

In summary the tertiary care programs in this nation are trapped in a difficult dilemma. On one side is the ongoing reduction in provider revenue driven by real and powerful market forces. On the other side is a traditional payment system governed by necessary laws that inhibit meaningful re-engineering of tertiary care delivery. If a remedy to this situation cannot be created then it is very likely that all aspects of quality as defined earlier will suffer. It is our hope that by very careful construction of a relationship, with attention to applicable statutes and careful measurement of utilization and quality, a limited business alignment of a hospital and a group of tertiary physicians can be approved in the care of Medicare, Medicaid and all federally funded patients.

Cardiology Service, Hospital↗
PubMed1999

Physicians, unions, and antitrust.

The increasing consolidation of our healthcare delivery systems and the concomitant push for perceived efficiencies, speed, and profits has laid the foundation for a renewed interest in unionization by many physicians. This Article analyzes the barriers to such unionization that are posed by the antitrust laws, and provides an analysis of how to proceed with unionization without violating those laws. The Article also analyzes the current status of physician ability to unionize, and surveys the present status of physician unions.

Antitrust Laws↗
PubMed1998

Doctors in the executive suite: should the U.S. and U.K. be putting M.D. licensure at risk for shortfalls in institutional quality of care?

As our healthcare system becomes further managed, delivery organizations are reincreasingly relying upon physician executives to administer the delivery of care by other individual providers. In both the United States and the United Kingdom, this has led to instances in which physician disciplinary procedures have been invoked with respect to physicians who are perceived to be responsible for institutional defiiciencies. The author examines and analyzes the contrasting approaches taken in the two countries, and recommends an activist approach for disciplinary agencies faced with these circumstances.

Accreditation↗