Convenience and independence: do physicians strike a balance in admitting decisions?

Douglas R Wholey, L. R. Burns

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)254-272
Number of pages19
JournalJournal of Health and Social Behavior
Volume32
Issue number3
DOIs
StatePublished - Sep 1991

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