Nexus: Acute Care Hospitals and Community Health

Darr, Kurt

doi:10.1080/00185860009596563

Cited by 3 publications

(4 citation statements)

References 1 publication

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“…Physicians used to consider the hospital as their "workshop" but today this customary relationship has been radically altered and physicians now view hospitals as competitors rather than compatriots (Pham and Ginsburg 2007). Darr (2005) also argues that physician loyalty to hospital systems has all but disappeared. This is evidenced by the fact that physicians are now directly competing with hospitals by building specialty clinics.…”

Section: Competition With Larger Hospitalsmentioning

confidence: 99%

A Profile of Solo/Two-Physician Practices

Lee,

Fiack,

Knapp

2013

Journal of Health and Human Services Administration

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Understanding practice behaviors of solo/dual physician ownership and associated factors at the national level is important information for policymakers and clinicians in response to the Affordable Care Act (ACA) of 2010, but poorly understood in the literature. We analyzed nationally representative data (n=4,720). the study results reveal nearly 33% of the sample reported solo/two-physician practices. Male/minority/older physicians, psychiatrists, favor small practices. Greater market competition was perceived and less charity care was given among solo/two-physician practitioners. the South region was favored by small physician practitioners. Physicians in solo or two-person practices provided fewer services to chronic patients and were dissatisfied with their overall career in medicine. Small practices were favored by international medical graduates (IMGs) and primary care physicians (PCPs). Overall our data suggest that the role of solo/dual physician practices is fading away in the delivery of medicine. Our findings shed light on varied characteristics and practice behaviors of solo/two-physician practitioners, but more research may be needed to reevaluate the potential role of small physician practitioners and find a way to foster a private physician practice model in the context of the newly passed ACA of 2010.

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Section: Competition With Larger Hospitalsmentioning

confidence: 99%

A Profile of Solo/Two-Physician Practices

Lee,

Fiack,

Knapp

2013

Journal of Health and Human Services Administration

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“…Writers such as Arno et al. (1994), Creasey (1997) and Darr (2000) have attempted to point out some of the problems associated with a care delivery model that is motivated by economic imperatives. Similarly, Larkins et al.…”

Section: The Structure Of Expert Evidencementioning

confidence: 99%

“…There has also been debate around as to the benefits and drawbacks of HITH programmes. Writers such as Arno et al (1994), Creasey (1997) and Darr (2000) have attempted to point out some of the problems associated with a care delivery model that is motivated by economic imperatives. Similarly, Larkins et al (1995) have rejected some of the projections made in the literature concerning the future site for medical treatments and advocate for the current system to be valued.…”

Section: The Structure Of Expert Evidencementioning

confidence: 99%

Hospital in the home: constructions of the nursing role – a literature review

Duke

Street

2003

Journal of Clinical Nursing

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Acute medical and nursing treatment in the home is increasingly seen as an alternative to hospitalization. Models such as hospital in the home (HITH) or acute home care are said to provide a safe, comfortable environment for patients that is conducive to healing. A review of the literature reveals the embryonic nature of the research and discussion related to this alternative care delivery model. In general, the benefits of hospital in the home programmes are presented in an uncritical manner. Medical practitioners have embraced the move to home care as a means of expanding the use of advanced technologies and improved drug regimes beyond the hospital walls. The nursing response has been mechanistic and recipe-like while advancing the HITH nursing role as an opportunity for specialty practice by virtue of the increased autonomy and independence required. This review demonstrates the influence of a professional mandate for specialization, and the ideological and scientific interests that have influenced the role of the nurse.

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“…Issues of justice and equity such as these require careful consideration before resources are redistributed away from hospitals. Darr (2000) presents another view on the equity issue when he argues that hospitals in the United States have a responsibility to conserve their resources for in-patient acute services rather than becoming distracted by community care programs such as home care.…”

Section: The Ethics Of Home Carementioning

confidence: 99%

The impetus for the development of Hospital in the Home (HITH) programs: A literature review

Duke¹,

Street

2003

Contemporary Nurse

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Alternative health care delivery models such as Hospital in the Home (HITH) are proliferating in Australia and in most Western countries. Such models facilitate patients who would otherwise be hospitalised to be cared for in their own homes. This paper reports a review of the literature related to the development of HITH programs. It reveals that the driving force behind the implementation of acute care programs comes from political and managerial aims to reduce health care spending. Home is clearly an appropriate care option for certain acute patients however, there is no strong evidence to suggest that it suits everyone. Very little attention has been given to the patient's experience of home care and the ethical and social consequences are largely ignored.

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Nexus: Acute Care Hospitals and Community Health

Cited by 3 publications

References 1 publication

A Profile of Solo/Two-Physician Practices

A Profile of Solo/Two-Physician Practices

Hospital in the home: constructions of the nursing role – a literature review

The impetus for the development of Hospital in the Home (HITH) programs: A literature review

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