Managing Hospitals by Physicians Essay Example | Topics and Well Written Essays - 3250 words

Managing Hospitals by Physicians - Essay Example Moreover, in turn, hospitals are reliant on these physicians as a recommendation foundation for patient volume. This arrangement of the health care system is a very old tradition which has only presently illustrated the signs of transforming with the uprising of hospitalist physicians. It is more referred to as a strange economic relationship for the reason that the physicians seek advantage in financial terms from the use of hospitals but do not put up with the unswerving liability for the economic health of these institutions (Final Report, 2008). The rock-strewn nuptial between physicians and hospitals is barely a novel occurrence. The stringency between the notion of the hospitals as a 'doctor's work-place', pertinent to medical regulation, and the hospital as an autonomous corporation with its own locus of control and an array of operations has buffed and diminished for a major part of the twentieth century (Stevens, 1989). Commencing with the regulation of workmen's compensation funds by innovating hospital administrators and accusations by physicians that hospitals were bartering their charitable services for a benefit, the thrash about for independence, regulation, respect, authority and money has furthered at a swift pace. Physicians who were trained and preserved as the trend-setters of all medical practice, construed to with the growing portion of the nation's health care dough flowing straight away to the hospitals and not to them. In turn, a novel strain of the non-physician hospital administrators who were trained to regulate their institutions as a business, construed to the physicians as indignant of 'lay' control and the rules as well as regulations essential to regulate a subtle and efficacious venture. With negligible irony, an administrator remarked that 'doctors, for the reason that they are doctors, are hard to accommodate into the hospital organization' (St. Luke's Health Initiatives, 2005). And hence, it has vanished. There have been many periods of cooperation, chiefly, in the face of a professed common rival such as third party payers and tyrannical government control and payment systems, but by and large, the provider community of the hospitals and physicians has maintained itself as a debatable creed for much of the twentieth century. Even though, the routine dealings of physicians and hospitals were apparently cordial in superficial terms, there was frequent smouldering distrust, hostility, antipathy and even detestation between the two communes. The objective of physicians ha s always been the regulation of the scope of independent, private practice with minimum restraints between themselves and their patients. The philosophies of the hospital medical personnel, the authoritative model of the physician-hospital connection, were based on utmost physician