RESUMO
To initiate a dialogue and begin addressing the issues of appropriateness of patient care and resource utilization, since 1988 leaders within the East Central Region of the Daughters of Charity National Health System (DCNHS-EC) have conducted a series of workshops involving managers, physicians, ethicists, attorneys, and others. The dialogue initiated in these workshops, along with the results of a 1991 survey of the region's local health ministries, has provided DCNHS-EC with baseline information on how each of the region's institutions supports care givers in making ethical decisions at the bedside level. The first workshop focused on the ethical dimensions of providing high-quality care with reduced reimbursement, local initiatives for ensuring quality while containing costs, and steps DCNHS-EC hospitals could take to promote effective use of scarce medical resources. Subsequent workshops provided opportunities for further exploration of these issues. Another workshop is being planned for late 1993 or early 1994. DCNHS-EC health ministries are taking a number of concrete steps to improve appropriateness of care and resource utilization. The support of local management, governance, and physician leaders is critical to these efforts.
Assuntos
Recursos em Saúde/estatística & dados numéricos , Hospitais Religiosos/organização & administração , Sistemas Multi-Institucionais/organização & administração , Responsabilidade Social , Catolicismo , Ética Institucional , Grupos Focais , Hospitais Religiosos/estatística & dados numéricos , Sistemas Multi-Institucionais/estatística & dados numéricos , Objetivos Organizacionais , Técnicas de Planejamento , Desenvolvimento de Pessoal , Estados UnidosRESUMO
This paper discusses physician income distribution within a group practice setting. In this discussion, factors affecting physician-income generation and distribution are explored, including objectives of incentive programs, overall economics of group practices, methods of distributing income which are most commonly employed, and other issues that affect incentive compensation.
Assuntos
Prática de Grupo/organização & administração , Renda , Planos de Incentivos Médicos , Economia Médica , Eficiência , Objetivos Organizacionais , Escalas de Valor Relativo , Salários e Benefícios , EspecializaçãoRESUMO
Although computers have proven to be effective tools in managing the administrative aspects of a medical group practice, many groups are hesitant to invest in this new technology. They are concerned about huge capital expenditures for equipment, the consequences of the implementation period, and failures that many groups are reported to have experienced in this endeavor. Microcomputers are a low-cost method through which a medical group can experiment with computerized information systems without taking the risk of total conversion from a manual to an automated system. The experience of the Sterling Heights Center in implementing a microcomputer is helpful to any group considering such a system.
