"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topics—from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." —Journal of Health Politics, Policy and Law.
- Cover
- Front Matter
- Part I: Committee Report
- 1 Profits and Health Care: An Introduction to the Issues
- 2 Changes in Ownership, Control, and Configuration
- 3 Financial Capital and Health Care Growth Trends
- 4 Investor Ownership and the Costs of Medical Care
- 5 Access to Care and Investor-Owned Providers
- 6 Quality of Care
- 7 Implications for Education and Research
- 8 Physicians and Entrepreneurism in Health Care
- 9 The Changing Nature of Physician Influence in Medical Institutions
- 10 Summary and Conclusions
- Part II: Papers on For-Profit Enterprises in Health Care
- 1 An Exchange on For-Profit Health Care
- 2 Ethical Issues in For-Profit Health Care
- 3 Trends in the Growth of the Major Investor-Owned Hospital Companies
- 4 The Effects of Ownership and Multihospital System Membership on Hospital Functional Strategies and Economic Performance
- An Analysis Based on California Data, 1978-1982
- 6 Hospital Acquision and Their Effects: Florida, 1979-1982
- 7 Hospital Ownership and Comparative Hospital Costs
- 8 Medicare Patient Outcomes and Hospital Organizational Mission
- 9 Compliance of Multihospital Systems with Standards of the Joint Commission on Accreditation of Hospitals
- 10 Hospital Ownership and the Practice of Medicine: Evidence from the Physician's Perspective
- 11 Physicial Participation in the Administration and Governance of System and Freestanding Hospitals: A Comparison by Type of Ownership
- 12 Medical Staff Size, Hospital Privileges, and Compensation Arrangements: A Comparison of System Hospitals
- 13 Hospitals and Their Communities: A Report on Three Case Studies
- 14 Investor-Owned Multihospital Systems: A Synthesis of Research Findings
- 15 The Changing Structure of the Nursing Home Industry and the Impact of Ownership on Quality, Cost, and Access
- Index
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