Physicians practicing in hospitals: implications for a medical staff policy

Article Abstract:

The government's health care reform program limits physicians from offering their services to patients enrolled in Medicare. The 'high-cost medical staff policy' included in the reform restricts physicians from practicing in more than one hospital and from admitting Medicare patients unless their service volume is more than the average. A study examining the relationship between physician hospital affiliations and their practice patterns is presented.

Practice, Physicians, Medical professions, Medical policy, Health policy, Health care reform

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Growth in Medicare's hospital outpatient care: implications for prospective payment

Article Abstract:

The federal government allowed the use of the prospective payment system (PPS) to reduce the costs of medical care. Hospital records show that an increasing number of patients are utilizing PPS via the Medicare hospital outpatient department (HOPD) services, suggesting that growth in Medicare HOPD will be determined by the success of PPS. A study analyzing the factors which affect the growth of PPS in the health care market is presented.

Outpatient Care Facilities, Outpatient Care Centers, Ambulatory care facilities, Hospitals, Hospital outpatient services, Prospective payment systems (Medical care)

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Utilization of physician services at the end of life: differences between the United States and Canada

Article Abstract:

The share of physician service for the elderly and terminally ill in the US was found to be at par, if not less, than that in at least two major Canadian provinces. Canadian decedents received greater evaluation and management services, in terms of absolute value, than their US counterparts. Sharp rises in medical spending for terminally ill patients prompted the need to reduce unnecessary medical care at the final stages of illness.

Aged, Elderly, Health care industry, Terminal care, Hospitalization, Physician services utilization

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