Physicians and Hospitals addresses an issue of concern and one of fundamental importance to the American health care system. While the ranks of physicians continue to swell and hospitals continue to expand their facilities, federal, state, and local governments remain determined to control health care expenditures. As a result, checks on the supply of services and facilities have been implemented that strain the physician-hospital relationship, often placing physicians and hospital administrations in conflict. The implications for American health care are the subject of disagreement and vigorous debate.
Foreword / William G. Anlyan vii List of Participants xi 1. The Cybernetics of Our System / Andrew G. Wallace 1 2. The Uneasy Alliance / John D. Thompson 11 Response / Rosemary A. Stevens 20 Response / C. Rollins Hanlon 23 Discussion 24 3. Physicians and Hospitals: Tensions in the Relationship / David M. Kinzer 29 Response / J. Alexander McMahon 51 Response / James H. Sammons 53 Discussion 56 4. Four Pathways for Hospitals and Physicians: Introduction / Paul M. Ellwood Jr. 75 1984 and Beyond: Physicians and Hospitals in a New Era / David J. Ottensmeyer 79 Henry Ford Hospital: A Hospital-Sponsored Medical Group / Stanley R. Nelson 85 Doctors Create a Corporation to Deal with a Hospital / Joseph F. Boyle 90 Doctors and Hospital Form a Cooperative Organization / Paul M. Ellwood Jr. 97 Discussion 105 5. The Structure of Hospital-Physician Relationships: The Interplay of Law and Policy / Clark C. Havighurst 113 Response / Paul Rogers 139 Response / Michael Bromberg 140 Discussion 143 6. A New Partnership: Physicians, Hospitals, and Their Customers / Donald S. MacNaughton 147 Response / Uwe E. Reinhart 155 Response / Alain Enthoven 159 Discussion 163 7. Summary I / Eli Ginzberg 171 Summary II / Alan Nelson 177 Discussion 182 Index 199