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  1. Pediatric hospitals'and physician strategies for the 21st century.

    Article - En anglais

    Changes in market-driven health care economics are rapid and of great magnitude.

    This report describes a study of some of these changes in regard to children's health issues.

    We used a survey tool to assess long-range plans (next 10 years) and marketing strategies for major free standing children's hospitals in different regions of the United States.

    We then used these assessments to draw conclusions about the impact of the plans and strategies on the practice of pediatric physicians and their workforce requirements.

    This may allow pediatric specialists and their programs to develop strategic plans and to take actions to contend with these market-driven economic changes.

    The tool was a questionnaire mailed to chief executive officers of 30 randomly chosen but geographically well-distributed children's hospitals.

    Seventeen children's hospitals responded (57%), providing information concerning each hospital and its current medical economic environment.

    The data were analyzed and trends were then identified from their responses.

    All institutions in this study expected to have fewer physicians on staff in the future.

    These institutions plan : (1) to improve quality and (2) to reduce costs.

    Quality will be improved by utilizing Continuous Quality Improvement (CQI) and/or Benchmarking to Best Practices, both of which encourage physicians to follow standardized treatment protocols.

    Costs will be reduced by decreasing hospital staff size. (...)

    Mots-clés Pascal : Médecin, Pédiatrie, Spécialité médicale, Hôpital, Organisation santé, Etats Unis, Amérique du Nord, Amérique, Economie santé, Enfant, Homme

    Mots-clés Pascal anglais : Physician, Pediatrics, Medical specialty, Hospital, Public health organization, United States, North America, America, Health economy, Child, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0318881

    Code Inist : 002B30A01C. Création : 16/11/1999.