The privatization of health care and physicians' perceptions of access to hospital services.
Health care in the United States is increasingly delivered by for-profit providers, by multi-facility corporations, and under conditions of price-based competition. The joint influence of these three trends is examined through data drawn from a 1984 survey of physicians conducted by the American Medical Association. For-profit ownership and price competition are reported to restrict admission for the poor and uninsured; the effects of system affiliation are shown to be more complex. Policy responses to future restrictions on access are discussed.
Schlesinger
M
M
Bentkover
J
J
Blumenthal
D
D
Musacchio
R
R
Willer
J
J
D001291:Attitude of Health Personnel; D003132:Commerce; D003625:Data Collection; D006297:Health Services Accessibility / Q000191:economics*; D006761:Hospitals / Q000706:statistics & numerical data*; D006777:Hospitals, Proprietary / Q000706:statistics & numerical data*; D008484:Medicaid; D009096:Multi-Institutional Systems / Q000191:economics; D010067:Ownership / Q000191:economics; D010343:Patient Admission / Q000191:economics*; D018579:Patient Selection; D010820:Physicians; D012044:Regression Analysis; D014481:United States