Health Affairs, doi: 10.1377/hlthaff.26.1.w31 (Published online December 5, 2006) © 2006 by Project HOPE	New Online   House Health Reform Bill   Paying for Reform   Vetting AHIP's Report   HIV/AIDS Costs   Brief: Insurance Reform   HA Blog Top 10

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Hospital-Physician Relations: Cooperation, Competition, Or Separation?

¹ Bob Berenson is a senior fellow at the Urban Institute in Washington, D.C., and a senior consulting researcher at the Center for Studying Health System Change (HSC), also in Washington.
² Paul Ginsburg is president of HSC.
³ Jessica May was a health research analyst there and is now a graduate student at Princeton University.

^*Corresponding author.

Abstract

Because many services performed in hospitals can safely and conveniently be performed in ambulatory settings, physicians have become owners of entities directly competing with hospitals for patients in a new medical arms race. Hospitals and medical staff physicians face growing tensions as a result of physicians' growing reluctance to take emergency department call and the consequences of hospitalists replacing physicians in the care of inpatients. Although there are increasing expectations that health system challenges will lead hospitals and physicians to collaborate, in many markets the willingness and ability for hospitals and physicians to work together is actually eroding. [Health Affairs 26, no. 1 (2007): w31-w43 (published online 5 December 2006; 10.1377/hlthaff.26.1.w31)]

Key Words: Business Of Health, Consumer Issues, Hospitals, Physicians

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