For-Profit Enterprise in Health Care
Gray, Bradford H.
McNerney, Walter J.
New England Journal of Medicine. 1986 Jun 5; 314(23): 1523-1528.
Health care is undergoing a transition from community, not-for-profit hospitals to a diverse group of care providers of a for-profit or quasi-for-profit nature. The rapid growth of investor-owned corporations has caused concern about access to care for indigents, quality of care, time devoted to possibly nonprofitable education and research, and the fiscal responsibility of physicians. An Institute of Medicine study, initiated in 1983, examined seven issues in for-profit care. Because of higher costs, tax obligations, and greater reliance on patient care revenues, investor-owned hospital companies face hard choices. Not-for-profit facilities will be challenged also by the need to preserve their community functions while coping with difficult economic realities. Public health policy must focus on meeting the needs of persons without resources. (KIE abstract)
Biomedical Research; Common Good; Costs and Benefits; Diagnosis; Economics; Education; Financial Support; Health; Health Care; Health Care Delivery; Health Insurance; Hospitals; Indigents; Institutional Policies; Insurance; Medicine; Nature; Patient Care; Physicians; Public Health; Public Hospitals; Public Policy; Remuneration; Research;
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