Not Now

Please login to proceed.
 
 
Not registered? Click Here to register now
 

Please select report abuse reason.

You have already reported this comment for abuse..

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

Thank You. Our reviewing committee will take appropriate action.

>
Should hospitals be employing physicians??
Keywords:
hospitals, physician employment, healthcare quality, Obamacare, patient satisfaction
Started by
Gastro97262
Posted On
Category
Policy
Comments
17

You cannot 'Report Abuse' to an article you have agree with.

Thank You. Our reviewing committee will take appropriate action.

You have already reported this article for abuse.

         There has been a major push by the hospitals to hire physicians directly. This has definitely altered the healthcare landscape and incentives. A lot of physicians are vehemently opposed to being hired directly by the hospitals. Several others have embraced the 'inevitable' and have sold their practices to hospitals and now are in the hospital's employ. This often leads to resentment amongst other physicians. The problem is exacerbated because the hospitals now control referrals as they have bought most practices of primary care physicians and hospitalists besides already controlling the ER physicians. The hospital administrations can and often do play favorites amongst the physicians and obviously prefer to route referrals to their employed specialist physicians. You would think that the hospital employed physicians would be a happy group of doctors with assured referrals, not having to deal with adminstrative and business side of clinical practice and preferential treatment from the hospital administration. However, that euphoria does not seem to be shared amongst the few friends who are hospital employed physicians. 

        The question arises- Should hospitals be in the business of employing physicians? Doesn't it create conflicts of interest especially violations of the STARK law (at least in the spirit of law), which was designed to prevent the hospitals from using financial and other inducements to influence referrals. And does it affect the overall quality of care delivered to the patients since hospital employed physicians become more involved into having a 'good quality of life' since they don't have to compete for referrals based on prompt service and patient care quality. 

 

You have already voted on this discussion. Thank You.

You cannot vote 'Agree' for an article you have reported for abuse.

Comments

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

Urol53148

NO!

You have already reported this comment for abuse.

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

 
 
Your Reply

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

Cardio30415

We cardiologists got screwed by sudden changes in reimbursement and had no option but to get employed by hospitals. I don't think that physicians should be employed by physicians. It becomes difficult to do the right things as the administrators are continuously prodding to increase revenue by hook or by crook.

You have already reported this comment for abuse.

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

 
 
Your Reply

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

Peggy99748

I hate dealing with hospitals. Hospitals hiring doctors does not sound good to me. My PCP got hired by hospital. He seems quite bitter about it. His office staff don't seem happy either. They told me they had no choice.

You have already reported this comment for abuse.

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

 
 
Your Reply

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

Anesth47378

I don't know about the bigger hospitals like Mayo and Cleveland clinic, but in smaller hospitals who employ physicians, the patient care usually worsens and the patients are grossly mistreated except the few charlatans who suck up to the administration

You have already reported this comment for abuse.

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

 
 
Your Reply

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

Neuro09586

I think the large part of problems in healthcare are related to the hospitals employing physicians. Hospital administrators don't know anything about healthcare but have all the power and control. Employed physicians cannot practice medicine like they used to. Now the administrators tell how to practice medicine. It would be comedic if it wasn't for the harm is real for real people.

You have already reported this comment for abuse.

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

 
 
Your Reply

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

Smith20295

Why do the hospitals have to employ physicians. I would think it would create conflict of interest as they naturally will push business to physicians employed by them. From what I hear, good doctors do not want to be bought by hospitals. So, are the hospitals now directing patients to "not good" physicians they hire ???

You have already reported this comment for abuse.

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

 
 
Your Reply

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

Pulmon09798

Dealing with hospital employed pathologists is very difficult. These people are even more defensive than most pathologists. I cannot get a definite diagnosis on anything nowadays. And complaining about them get only get clinicians in trouble with the hospital administration.

You have already reported this comment for abuse.

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

 
 
Your Reply

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

Debbie32818

My doctor sold his practice to the hospital and is now employed by the hospital. His office staff is not very helpful now- though they keep apologizing for that. They blame the hospital bureaucracy and rules which prevent them from doing what they routinely did to help patients like me earlier. My visit to this doctor also costs much more now.

You have already reported this comment for abuse.

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

 
 
Your Reply

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

CTVS10483

I can see how it happened. I have seen it happen with my colleagues on several occasions. The hospital administrators add on costs for the patients that the physicians have no control over.

You have already reported this comment for abuse..

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

Rich45371

After my doctor sold his practice to another hospital (different than the larger one he was previously affiliated with), he would only refer to specialists within his new hospital group. I preferred going to the larger hospital specialists, so I eventually had to change my primary care provider b/c I did not want to have the continued discussion on why I wanted to go to the other hospital. It was all about money.

You have already reported this comment for abuse..

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

Cardio21740

I don't think so. Hospital employment changes physicians so fast- it is painful dealing with them after that.

You have already reported this comment for abuse.

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

 
 
Your Reply

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

Anesth47378

I agree. More so with some than other physicians. Those who do don't seem to care anymore (even though they were responsive and available before they agreed to be hired by the hospital).

You have already reported this comment for abuse..

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

Sanders98948

These large corporations are taking over America. Now they want to destroy our healthcare system ???

You have already reported this comment for abuse.

Thank You. Our reviewing committee will take appropriate action.

You have already voted on this comment. Thank You.

You cannot vote 'Agree' for comment you have reported for abuse.

You cannot 'Report Abuse' to comment you have agree with.

 
 
Your Reply

This comment text contains inappropriate content as per site policy. Some of the restricted words are - {0}

 

You have already suggested a poll.

No poll currently added by author.

Question
Words remaining: 25

Answer Options

Words remaining: 25

Your draft has been saved to your dashboard.

Draft is empty. There is nothing to save.

Poll 1
Started
Responses

Answer Options (Choose one):

Your poll has been successfully submitted to author.

We will update you when the author chooses to publish it.

Do you really want to discard the poll?
 

Share with friends

 

Categories

Related Discussions

Related Opinions

Related Surveys

This site best viewable in landscape.
please rotate your device