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T M Gorey

Publications and source records attributed to T M Gorey.

9 recordsLinked to original sources

PHOs enhanced health care delivery through physician-hospital cooperation.

In light of the many trends that have been building over the past decade and the current pressures on the health care system for reform, change is inevitable in the way medical and other health care services are delivered and financed. Regardless of the precise nature of those changes, increased cooperative effort between physicians and hospitals in providing health care at the community level will be critical in ensuring the future success of the health care system. PHOs represent one potential approach to increased health care integration at the local level which can offer significant advantages to patients, physicians, and hospitals. Although PHOs are not a panacea for the ills facing the U.S. health care system or for deteriorating physician-hospital relations, they can be a solid building block for a stronger health care system and for improved, cooperative relations between health care providers.

Cost Control↗

Physician organizations and physician-hospital organizations: models for managing change.

The health care environment is expected to undergo significant change in the coming years. The continued growth of managed care, in particular will exert a profound impact on medical practice. This trend will be accelerated if a managed competition approach to health system reform is adopted at the federal level. As physicians continue to consider possible strategies by which to adapt to the changing practice environment, two options may merit special consideration: first, integration with other physicians, particularly through formation of a medical group and, second, vertical integration with a hospital, through formation of a PHO. Although PHOs are a relatively recent phenomenon, they represent a potentially powerful strategy by which physicians and hospitals can combine forces to take a leadership role in managed care contracting. Through careful planning, development of a sound legal structure and efficient governance process, and implementation of effective criteria for participation in the PHO, it is possible to further the goals of the physician and hospital participants, while meeting the needs of payers.

Delivery of Health Care↗