title: Hospital-physician relationships in the integrated delivery system: an ethical analysis.
abstract: The need to compete for managed care contracts is causing hospitals and physicians to dramatically change how they do business with each other. Most significant is the formation of integrated delivery health-care systems. The emergence of these systems creates an enhanced need for physicians and administrators to better understand what the other actually does. This article examines the new health-care marketplace from both perspectives and how integrated delivery systems affect individual and community patient care, and it offers guidelines for effective hospital-physician relationships within integrated delivery systems.
authors.affiliation: Williamson Institute for Health Studies, Medical College of Virginia/Virginia Commonwealth University, USA.
authors.forename: K N
authors.initials: KN
authors.lastname: Swisher
authors.forename: J W
authors.initials: JW
authors.lastname: Begun
authors.forename: D L
authors.initials: DL
authors.lastname: Ulmer
mesh_terms: D003363:Cost Control; D019033:Delivery of Health Care, Integrated / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000592:standards; D004991:Ethics, Institutional; D017408:Guidelines as Topic; D018578:Hospital-Physician Relations; D016365:Liability, Legal; D015279:Organizational Culture; D009937:Organizational Objectives; D010816:Physician Incentive Plans; D010817:Physician-Patient Relations; D011787:Quality of Health Care; D014481:United States