PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 10141165

Creating physician-driven integrated delivery systems.

L Wagner
View original source ↗Export metadata ↓

Abstract

Put doctors in control of key strategic and clinical decisions? Make them part owners or give them financial performance incentives? Yes, say many experts, that's the road to success for integrated systems. Read how they're doing it and evaluate your physician integration initiatives on HSL's 10-question self-assessment.

Explore related subjects

Comprehensive Health CareGoverning BoardHospital-Physician Joint VenturesHospital-Physician RelationsLeadershipModels, OrganizationalMotivationOwnershipPhysician's RolePower, PsychologicalSystems IntegrationUnited StatesJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

L Wagner. 1995. Creating physician-driven integrated delivery systems.. https://pubmed.ncbi.nlm.nih.gov/10141165/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2001

Cost containment, solidarity and cautious experimentation: Swedish dilemmas.

This paper uses secondary data analysis and a literature review to explore a "Swedish Dilemma": Can Sweden continue to provide a high level of comprehensive health services for all regardless of ability to pay--a policy emphasizing "solidarity"--or must it decide to impose increasing constraints on health services spending and service delivery--a policy emphasizing "cost containment?" It examines recent policies and longer term trends including: changes in health personnel and facilities; integration of health and social services for older persons; introduction of competition among providers; cost sharing for patients; dismantling of dental insurance; decentralization of government responsibility; priority settings for treatment; and encouragement of the private sector. It is apparent that the Swedes have had considerable success in attaining cost containment--not primarily through "market mechanisms" but through government budget controls and service reduction. Further, it appears that equal access to care, or solidarity, may be adversely affected by some of the system changes.

Comprehensive Health Care↗
PubMed2001

The national health service plan: further reform of British health care?

Less than three years after initiating a series of health service reforms, the Blair government has launched another plan for the U.K. National Health Service. This article considers the origins and contents of the plan. A major investment program is designed to bring health care spending up to European averages over the next five years. In return, the government seeks to challenge the existing settlement between organized medicine and the state through tighter regulatory control, altered contractual frameworks, and a new public-private concordat. The plan does not represent a radical change in government policy but rather reaffirms existing approaches to increasing access to health services, integrating health and social care, and empowering users. Notwithstanding arrangements to increase the autonomy of health service organizations, the plan increases central control through a range of new bodies and regulatory frameworks. It represents an incremental adjustment of the existing tax-funded system. Should this reinvigoration of the state monopoly fail, alternative sources of funding will no doubt have to be reconsidered.

Comprehensive Health Care↗