title: Changes in hospital-doctor relations.
abstract: Recent trends in the health care system are changing relationships between physicians and hospitals. Excess hospital capacity, DRGs, and prospective payment impel managers to be more cost conscious. By introducing protocols, practice monitoring, and incentives for conservative styles, they are eroding traditional physician autonomy. These new realities require better cooperation between doctors and managers to safeguard patient interests while making the system more cost-effective.
mesh_terms: D003365:Costs and Cost Analysis; D003953:Diagnosis-Related Groups / Q000191:economics*; D006739:Hospital Administration; D006801:Humans; D007400:Interprofessional Relations; D008505:Medical Staff, Hospital; D011445:Prospective Payment System; D014481:United States