Consequences of Physicians' Ownership of Health Care Facilities -- Joint Ventures in Radiation Therapy
Mitchell, Jean M.
Sunshine, Jonathan H.
New England Journal of Medicine. 1992 Nov 19; 327(21): 1497-1501.
Physicians are increasingly the owners of health care facilities to which they refer patients for services but at which they do not practice. We studied such ownership arrangements, known as "joint ventures," in the field of radiation therapy, examining their effects on access, use of services, costs, and quality....Joint ventures in radiation therapy appear to have adverse effects on patients' access to care. They also appear to increase the use of services and costs substantially. Some indicators show that joint ventures cause either no improvement in quality or a decline. Our results add to the evidence indicating that physicians' self-referral genrally has negative consequences. We recommend legislation to ban ownership of joint ventures by referring physicians. Such legislation needs to be carefully designed in order to achieve its objectives and forestall new, financially abusive arrangements.
Adverse Effects; Aged; Cancer; Conflict of Interest; Costs and Benefits; Disclosure; Economics; Entrepreneurship; Evaluation; Evaluation Studies; Federal Government; Government; Government Regulation; Health; Health Care; Health Care Delivery; Health Facilities; Hospitals; Insurance; Legislation; Medical Fees; Morbidity; Mortality; Organ Donation; Organizations; Ownership; Patient Care; Patients; Physician Self-Referral; Physicians; Proprietary Health Facilities; Quality of Health Care; Radiation; Radiology; Regulation; State Government;
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Mitchell, Jean M.; Scott, Elton (1992-07-01)Physician ownership of health care businesses (outside their own practice) to which they refer patients has attracted considerable attention in the medical literature, in the media, and from federal and state policymakers. ...