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The corporate transformation of health care [[electronic resource] ] : can the public interest still be served? / / John P. Geyman
| The corporate transformation of health care [[electronic resource] ] : can the public interest still be served? / / John P. Geyman |
| Autore | Geyman John P. <1931-> |
| Pubbl/distr/stampa | New York, NY, : Springer Pub. Co., c2004 |
| Descrizione fisica | 1 online resource (323 p.) |
| Disciplina | 362.1/0425 |
| Soggetto topico |
Medical corporations - United States
Medical economics - United States Multihospital systems - United States Health maintenance organizations Public health - United States |
| Soggetto genere / forma | Electronic books. |
| ISBN | 0-8261-2467-4 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Growth of investor-owned corporate health care -- Hospitals and nursing home chains -- Health maintenance organizations (HMOS) -- Health insurance industry -- Pharmaceutical industry -- Medically-related industries -- Impacts of corporate practices on the health care system -- Compromising the integrity of research -- Disinformation and media control -- Lobbying of government -- Co-opting the regulators -- Privatization vs. public utility model of health care -- Politics and options for health care reform -- An approach to reform. |
| Record Nr. | UNINA-9910454626303321 |
Geyman John P. <1931->
|
||
| New York, NY, : Springer Pub. Co., c2004 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The corporate transformation of health care [[electronic resource] ] : can the public interest still be served? / / John P. Geyman
| The corporate transformation of health care [[electronic resource] ] : can the public interest still be served? / / John P. Geyman |
| Autore | Geyman John P. <1931-> |
| Pubbl/distr/stampa | New York, NY, : Springer Pub. Co., c2004 |
| Descrizione fisica | 1 online resource (323 p.) |
| Disciplina | 362.1/0425 |
| Soggetto topico |
Medical corporations - United States
Medical economics - United States Multihospital systems - United States Health maintenance organizations Public health - United States |
| ISBN | 0-8261-2467-4 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Growth of investor-owned corporate health care -- Hospitals and nursing home chains -- Health maintenance organizations (HMOS) -- Health insurance industry -- Pharmaceutical industry -- Medically-related industries -- Impacts of corporate practices on the health care system -- Compromising the integrity of research -- Disinformation and media control -- Lobbying of government -- Co-opting the regulators -- Privatization vs. public utility model of health care -- Politics and options for health care reform -- An approach to reform. |
| Record Nr. | UNINA-9910782751403321 |
|
Geyman John P. <1931->
|
||
| New York, NY, : Springer Pub. Co., c2004 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The new health care for profit [[electronic resource] ] : doctors and hospitals in a competitive environment / / edited by Bradford H. Gray (Institute of Medicine)
| The new health care for profit [[electronic resource] ] : doctors and hospitals in a competitive environment / / edited by Bradford H. Gray (Institute of Medicine) |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, c1983 |
| Descrizione fisica | 1 online resource (186 p.) |
| Disciplina | 362.1/1/0973 |
| Altri autori (Persone) | GrayBradford H. <1942-> |
| Soggetto topico |
Health facilities, Proprietary - United States
Medical corporations - United States |
| Soggetto genere / forma | Electronic books. |
| ISBN |
1-280-24585-9
9786610245857 0-309-53383-X 0-585-15567-4 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910455413303321 |
| Washington, D.C., : National Academy Press, c1983 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The new health care for profit : doctors and hospitals in a competitive environment / / edited by Bradford H. Gray (Institute of Medicine)
| The new health care for profit : doctors and hospitals in a competitive environment / / edited by Bradford H. Gray (Institute of Medicine) |
| Pubbl/distr/stampa | Washington, D.C. : , : National Academy Press, , 1983 |
| Descrizione fisica | 1 online resource (viii, 178 pages) |
| Disciplina | 362.1/1/0973 |
| Altri autori (Persone) | GrayBradford H. <1942-> |
| Soggetto topico |
Health facilities, Proprietary - United States
Medical corporations - United States |
| ISBN |
1-280-24585-9
9786610245857 0-309-53383-X 0-585-15567-4 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910778889803321 |
| Washington, D.C. : , : National Academy Press, , 1983 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The new health care for profit : doctors and hospitals in a competitive environment / / edited by Bradford H. Gray (Institute of Medicine)
| The new health care for profit : doctors and hospitals in a competitive environment / / edited by Bradford H. Gray (Institute of Medicine) |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, c1983 |
| Descrizione fisica | 1 online resource (viii, 178 pages) |
| Disciplina | 362.1/1/0973 |
| Altri autori (Persone) | GrayBradford H. <1942-> |
| Soggetto topico |
Health facilities, Proprietary - United States
Medical corporations - United States |
| ISBN |
9786610245857
9781280245855 1280245859 9780309533836 030953383X 9780585155678 0585155674 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
The New Health Care for Profit -- Copyright -- Preface -- Contents -- An Introduction to the New Health Care for Profit -- THE CHANGING HEALTH CARE ENVIRONMENT -- PROFESSIONAL AUTONOMY, TRUST, AND HEALTH POLICY -- IMPLICATIONS OF THE CURRENT CHANGES IN FOR-PROFIT HEALTH CARE -- THE INSTITUTE OF MEDICINE PROJECT -- CONCLUSION -- REFERENCES AND NOTES -- Legal Differences Between Investor-Owned and Nonprofit Health Care Institutions -- ORGANIZATIONAL DIFFERENCES -- Investor-Owned Hospitals -- Nonprofit Hospitals -- FINANCIAL DIFFERENCES -- Tax Exemptions -- Reimbursement Factors -- Sources of Capital -- Restrictions On Transfers of Property -- OTHER LEGAL DIFFERENCES -- CONCLUSION -- REFERENCES AND NOTES -- Wall Street and the For-Profit Hospital Management Companies -- ANALYSTS' SOURCES OF INFORMATION -- FINANCIAL ANALYSES OF COMPANIES -- THE IMPORTANCE OF STOCK PRICES TO THE COMPANIES -- REASONS FOR SUCCESS OF THE HOSPITAL MANAGEMENT COMPANIES -- DIFFERENCES AMONG COMPANIES -- ACQUISITIONS -- MAKING HOSPITALS HEALTHIER -- OUTLOOK FOR THE FUTURE -- REFERENCES AND NOTES -- When Investor-Owned Corporations Buy Hospitals: Some Issues and Concerns -- THE FIVE CASES -- County Hospital A -- County Hospital B -- Doctors Hospital -- Osteopathic Hospital -- Suburban County Hospital -- MAJOR ISSUES -- Control -- Job Security and Benefits -- Plant and Equipment -- Charges for Care -- Quality of Care -- Admission Policies -- Buy-Back Provision -- THE PROCESS -- CONCLUSIONS -- Appendix Principal Interviews Conducted for This Paper -- Physician Involvement in Hospital Decision Making -- A TYPOLOGY OF HOSPITAL DECISION MAKING -- CONVERGENCE VERSUS DIVERGENCE OF INTERESTS -- THE DECISION MAKERS -- The Dual Authority Model -- The Shared Authority Model -- STRAIN AMONG DECISION MAKERS AND BETWEEN THE TWO MODELS -- TYPES OF PHYSICIAN DECISION-MAKING INVOLVEMENT.
HOSPITAL/PHYSICIAN DECISION MAKING AND THE COST AND QUALITY OF CARE -- Evidence Regarding Costs -- Evidence Regarding Quality -- Evidence Regarding Possible Trade-Offs Between Cost and Quality -- FUTURE ISSUES -- The Changing Context of Clinical Decision Making -- The Changing Context of Institutional Decision Making -- The Demise of the Voluntary Medical Staff -- Factors Promoting or Impeding Shared Decision-Making Models -- SUMMARY -- REFERENCES AND NOTES -- Economic Incentives and Clinical Decisions -- MODELS OF CLINICAL DECISION MAKING -- INCENTIVES FROM THE PERSPECTIVE OF THE PHYSICIAN AND THE ECONOMIST -- Incentives and the Use of Technology -- Payment and Practice Setting Incentives -- Individual versus Collective Patterns of Practice -- SUMMARY AND CONCLUSIONS -- REFERENCES -- Ethical Dilemmas of For-Profit Enterprise in Health Care -- HISTORY OF THE ETHICS CONTROVERSY -- The International Context -- The American Medical Association -- Advertising -- Patents -- Dispensing Pharmaceuticals and Receiving Rebates -- Fee Splitting -- Ownership of Health Facilities and Corporate Relations -- A SUMMARY OF THE PROFESSIONAL PHYSICIAN STANCE -- Basic Principles of the Professional Stance -- Service to the Patient -- Physician Control of Decision Making and Fees -- Acceptance of Profit Motive -- Suspicion of Commercialization -- An Interpretation of the Professional Stance -- PHYSICIANS COMPARED WITH OTHER PROFESSIONALS -- A PHILOSOPHICAL EVALUATION OF THE PROBLEM -- Problems with Evaluations Based on Professional Codes -- Basic Philosophical Themes -- Business Ethics and Physician Ethics: The Role of Altruism -- Deontological versus Consequentialist Ethics -- Health Care as a Commodity -- The Double Agent Problem -- Differences Between Business and Physician Ethics -- Lying and Deception -- Competitor's Use of Outdated Information. Enticement of Customers into Needless Consumption -- Exclusion of Inefficient Customers -- The Duty to the Indigent -- Supplying Unprofitable Products and Services -- Differing Concepts of Self-Regulation -- CONCLUSION -- REFERENCES AND NOTES -- Secondary Income From Recommended Treatment: Should Fiduciary Principles Constrain Physician Behavior? -- THE PHYSICIAN-PATIENT CONFLICT OF INTEREST PROBLEM -- BACKGROUND OF FIDUCIARY LAW -- FIDUCIARY THEORY IN MEDICAL LITIGATION -- Physician As Guardian of Patient Property -- Kickback Cases -- Reimbursement Cases -- Girl and Contract Cases -- Physician As Advisor -- Confidentiality Cases -- Statute of Limitations Cases -- Informed Consent Cases -- Physician as Agent -- CONCLUSION -- REFERENCES AND NOTES -- Biographical Sketches of Contributors -- Index. |
| Record Nr. | UNINA-9910953242103321 |
| Washington, D.C., : National Academy Press, c1983 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
