Let's Make a Deal: Negotiating a Settlement Between Physicians and Society
Welch, H. Gilbert
Fisher, Elliott S.
New England Journal of Medicine. 1992 Oct 29; 327(18): 1312-1315.
Many have proposed blueprints for a new U.S. health care system, but few have focused on the process of designing a house we all can live in. Perhaps because we physicians are both providers and potential patients, we have as large a stake as anyone in the final design. Because others foot the bills, however, we will not get exactly what we want. In most of this commentary, the current struggle for reform is viewed as a negotiation, despite the lack of an obvious negotiating table and clearly identified negotiators. We draw on recent work in conflict resolution to propose an approach to the negotiations ahead. If physicians negotiate well, we will be more comfortable in the new dwelling.
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Prioritizing Oregon's Hospital Resources: An Example Based on Variations in Discretionary Medical Utilization Fisher, Elliott S.; Welch, H. Gilbert; Wennberg, John E. (1992-04-08)Objective. -- To provide an alternative to Oregon's treatment-specific approach to rationing, we propose a prioritization based on the local hospital resources invested in discretionary medical admissions. Design. -- We ...