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Biomedical subjects

L J Marcus

Publications and source records attributed to L J Marcus.

9 recordsLinked to original sources
PubMed1996

Joining a capitated IPA: should you, or shouldn't you?

The "bygone" doctor practiced in the good old days under a relatively uncomplicated, clearly defined system. Physicians could afford to be independent. To survive in practice today, say the authors of "Renegotiating Health Care: Resolving Conflict to Build Collaboration," physicians must adapt to change or the health-care market will pass them by. Today's "evolving" doctor is a partner, contributing to and deriving benefit through collaborative patient-care networks, physician practice organizations, and medical services organizations. Historical rivalries have been forgotten as hospitals, insurers, and physicians seek and achieve innovative alliances. Still, resistance to these plans runs strong. The following story typifies one dilemma that faces physicians today. It concerns a hypothetical group practice that must decide whether to form a capitated individual practice association.

Capitation Fee↗
PubMed1996

Sharpen your bargaining skills.

As the health-care revolution continues, bargaining skills have become more crucial for doctors than ever before. If you want your practice to thrive, you must regularly negotiate with colleagues, practice administrators, allied health professionals, managed-care plans, business groups, hospitals, and the government. Yet medical schools and residency programs devote little if any time to negotiating skills. The "golden days," when physicians could afford to be mavericks, are over. Doctors must develop a new collaborative outlook to be successful and happy in their careers, says Leonard J. Marcus, Ph.D., lead author of the book "Renegotiating Health Care: Resolving conflict to Build Collaboration." He and his co-authors often conduct seminars for health professionals on improving bargaining skills. The following excerpt concerns the role of conflict in negotiation, and how to resolve it.

Conflict, Psychological↗
PubMed1990

Research on organizational issues in health care social work.

A rich body of knowledge spans organizational topics relevant to the practice, conceptual development and planning of social work health care services. At a time when health care organizations are experiencing major changes in their structure and financing; organizational research informs both the system adjustments and leadership which social work can offer the health care field. Organizational research on health care social work is grouped into three categories: management and administrative issues; interprofessional and interorganizational relations; and service delivery topics. Within each category, the major issues are presented with single site and multi-site research reviewed. Recommendations to improve the contributions of this body of research include greater attention to methodological rigor in designing and implementing research projects.

Health Services Research↗
PubMed1987

Discharge planning: an organizational perspective.

Economic pressures and the advent of prospective payment systems have heightened the importance of effective discharge planning. In this examination of the organizational dimension of the discharge process, a conceptual approach for understanding complex organizations is outlined and strategies for negotiating multifaceted systems are presented.

Continuity of Patient Care↗
PubMedDate not supplied

Beyond the malaise of American medicine.

Over the past two decades, physicians have suffered declines in real income, community standing, and of collegiality. Physicians must not view themselves solely as victims of the sweeping changes in current medical care delivery. They have both the opportunity and the duty to reassert their true role as compassionate conveyors of the science and the art of medicine. This article explores the historic trends that have led to our current state. It also explores the exciting possibilities open to doctors to assume a renewed elevated status that both they and their patients yearn for.

Attitude of Health Personnel↗