Governing hospitals: trustees and the new accountabilities.
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Biomedical subjects
Publications and source records attributed to R M Cunningham.
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What caused the malpractice crisis of the early 1970's, and why did it fade? And why are claims rising again now? The constantly increasing complexity of medical practice along with unrealistic patient expectations undoubtedly have a lot to do with the recent upswing.
The consumer movement as we have known it in the past may have a diminished function in the coming decade as business and industry and government exert increasing power as buyers of health services on behalf of the people.
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The demise of the health systems agencies means that planning for institutional survival will take place in a more competitive environment, and that the components of the planning function have new dimensions. Planners must take into account not only the epidemiology of the population but also its economic characteristics, the extent to which the market for medical services will be reorganized by new corporate conglomerates and multiunit management systems, and the reluctance of physicians and patients to embrace the trend to corporate enterprise.
Hospitals have an opportunity to become centers of health and social services for the aged. Without their voluntary initiative to provide home care and home nursing services, increasing numbers of older people will be stacked up in institutions.
Hospitals with the most coherent organization of decision-making authority, including physicians at top levels of governance and management, are the ones most likely to cope successfully with change.
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