Health reform is now predicted to occur in the marketplace without much further governmental intervention.
The major vehicles driving this fortuitous trend are the managed care plans, capitated payment, and the development of complex and fiscally awesome health networks organized by hospitals, physicians, and health insurance companies.
In the context of this procompetitive environment, potential decreases are projected in current emergency department (ED) volumes, demand for emergency medicine (EM) physicians, and anticipated workload and remuneration of doctors working in EDs.
Eventually, mandated universal insurance for 260 million Americans will create a slight increase in total ED visits ; additional cost constraints will force the closure of a number of hospital EDs ; and EM specialists will experience less ideal working conditions, requiring them to work more hours to maintain their current incomes.
Mots-clés Pascal : Service hospitalier, Urgence, Organisation hospitalière, Economie santé, Assurance maladie, Santé publique, Politique sanitaire, Homme, Etats Unis, Amérique du Nord, Amérique, Soin intensif
Mots-clés Pascal anglais : Hospital ward, Emergency, Hospital organization, Health economy, Health insurance, Health policy, Human, United States, North America, America, Intensive care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0153191
Code Inist : 002B30A04B. Création : 199608.