Convenience and independence: do physicians strike a balance in admitting decisions?
This paper contrasts economic and professional models of physician admitting behavior. Economic models emphasize physician convenience and income maximization, while professional models emphasize physician autonomy and independence. The paper examines the relative power of these models to explain two types of admitting decisions made by physicians: which hospitals to begin admitting patients to, and how many patients to admit to a hospital. Analyses of physician admitting patterns over a three-year period suggest that economic considerations outweigh professional considerations in both decisions. Results are interpreted in light of recent changes in the profession of medicine and physician-hospital relationships.
Wholey
D R
DR
Department of Social and Decision Sciences, Carnegie Mellon University, Pittsburgh, PA 15213.
Burns
L R
LR
D003253:Consultants / Q000523:psychology; D003657:Decision Making; D003858:Dependency, Psychological; D004467:Economics; D006801:Humans; D007400:Interprofessional Relations; D008960:Models, Psychological; D010343:Patient Admission; D010820:Physicians / Q000191:economics / Q000523:psychology*; D010818:Practice Patterns, Physicians'