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Biomedical subjects

W Curry

Publications and source records attributed to W Curry.

At least 19 recordsLinked to original sources
PubMed1997

Physicians as executives: boon or boondoggle?

It should come as no surprise to any observer of trends in the U.S. healthcare delivery system that physicians are taking a keener interest in the organization and management of that system. The practice of medicine has become, to a large degree, overtaken by events. Managed care and system integration have tended to place decision making at points further and further removed from patient care, the natural purview of the physician. It is to regain the initiative on how patient care is provided that physicians are moving in greater numbers into management. It is our contention that this move portends well for the future of the system. The unique advantage of the physician executive is the ability to bring to bear on healthcare management an understanding of the clinical processes that are its essential content. With strong clinical credentials and excellent management training, the physician is poised to make significant contributions to a healthcare organization's success.

Career Mobility↗
PubMed1995

Dealing with the demands of change.

If evidence of the changes occurring in and confronting the health care field were needed, it was provided in abundance at the College's Perspectives in Medical Management meeting in Chicago in May. The presentations and the discussions among members buttressed the feeling that the health care field is proceeding through a period of transformation. The evolving system will be anchored on managed care, with special emphasis on the word "managed." The accoutrements of managed care--case management, demand management, utilization management, clinical guidelines and protocols, capitation budgeting, and the like--dominated discussion. The "business" of health care is proceeding apace. Maintaining a balance between the financial and quality elements of health care delivery has never been more important. And the definition of that balance will be determined at the local and regional levels. Federal initiatives are temporarily in abeyance. The challenge for physician executives is to assume leadership in moving their organizations, and thus the health care system, toward a new design that corrects present deficiencies and positions both to respond more effectively to the health care market. While it is not possible to cover all of the more than 60 speakers who addressed the meeting, this report, through presentation of the ideas of some key presenters, is aimed at measuring at least the boundaries of the challenges that lie ahead.

Health Care Rationing↗
PubMed1981

Computer-assisted antibiotic use review.

The use of a computer system for an antibiotic review program is described. A commercial system was selected as the software base for the development of the antibiotic use review (AUR) program. The AUR system is composed of three parts: (1) editing and verifying data from the patient's pharmacy profile card, (2) updating the data base, and (3) generation of reports. The system is flexible in its reporting capabilities. Potential functions of the system include identifying patterns of bacterial resistance. The computer system is an efficient tool for the clinical review of antibiotic use in a quality assurance program.

Anti-Bacterial Agents↗
PubMedDate not supplied

Who lost the health care revolution?

Just a year ago, in the March-April 1989 issue of Harvard Business Review, Professor Regina E. Herzlinger of the Harvard Business School took a long look at the U.S. health care system and declared the much touted revolution in the health care delivery system a failure. This article is a summary of the arguments that Professor Herzlinger marshaled for her treatise. In the following two articles, members of the College assess those arguments in terms of the medical management profession and in terms of the organizations, a hospital and a managed care company, for which they work. Finally, Professor Herzlinger returns to the subject with a response to these physician executives.

Commerce↗
PubMedDate not supplied

Status quo won't work.

The division between those who provide health care services and those who pay for them may be widening. Costs continue to rise, quality remains ill-defined, and there don't seem to be any easy answers to the dilemma. Joseph W. Duva, Director of the New York Region Health/Welfare Benefits Consulting Practice of Ernst and Young, believes the answer has been found. While Director of Employee Benefits at Allied Signal Corp., he was instrumental in the formulation of a total managed health care plan for employees. He recently founded the Managed Health Care Association to share the experience at Allied Signal with others and to provide a business forum for exploration of the managed care concept. Duva's views on managed care as a cost containment strategy were the subject of an interview conducted by Physician Executive at the National Conference of Physician Executives in San Antonio in May.

Cost Control↗
PubMedDate not supplied

Access: the most critical issue facing reform.

In the present reform environment, businesses can effectively work with insurers and provider networks to construct and monitor a basic benefits design that would enlist the public more fully in providing universal health care.

Health Benefit Plans, Employee↗
PubMedDate not supplied

Hospital size determines department director policy.

Early in 1990, the American College of Physician Executives undertook a survey of its hospital-based members to determine the extent to which hospitals had department directors and the roles, responsibilities, and compensation of those directors. The survey form was mailed to about 1,400 College members; responses were received from 734--approximately a 52 percent response rate. This article reports the results of the survey.

Evaluation Studies as Topic↗
PubMedDate not supplied

Physician leaders see eye-to-eye.

Late in 1990, the American College of Physician Executives conducted a survey of hospital-based physician executives and chiefs of staff. Each was asked to judge the performance of the other in a wide range of activities. The results show a surprising degree of mutual regard and agreement. The differences, however, are also telling.

Attitude of Health Personnel↗
PubMedDate not supplied

Management must role for physicians.

It is not the same subject that was projected in the '70s when quality assurance leaped on the health care scene. As complex as quality assurance is, contemporary discussions of quality are much more multifaceted. At the core of health care quality, however, is clinical practice. The consensus among speakers at the College's National Conference of Physician Executives in May in San Antonio, Tex., is that medical quality will not be managed in the interests of patients, buyers, and providers in the absence of significant involvement by physician executives.

Humans↗