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The Evolving Role of Third Parties in the Hospital—Physician Relationship
Lawton R. Burns, PhD, MBA
Health Care Systems and of Management, The Wharton School, Philadelphia, Pennsylvania, burnsL{at}wharton.upenn.edu
David B. Nash, MD, MBA
Health Policy and Chairman of the Department of Health Policy, Jefferson Medical College, Philadelphia, Pennsylvania
Douglas R. Wholey, PhD
Health Policy & Management, School of Public Health, University of Minnesota, Minneapolis
Hospital—physician relationships (HPRs) are a key concern for both parties. Hospital interest has been driven historically by the desire for the physician's clinical business, the need to combat managed care, and now the threats posed by single specialty hospitals, medical device vendors, and consumerism. Physician interest has been driven by fears of managed care and desires for new sources of revenue. The dyadic relationships between hospitals and physicians are thus motivated and influenced by the role of third parties. This article analyzes the history of HPRs and the succession of third parties. The analysis illustrates that the role of third parties has shifted from a unifying one to one that divides hospitals and physicians. This shift presents both opportunities and problems. (Am J Med Qual 2007;22:402-409)
Key Words: hospitals • physicians • hospital—physician relationships • triads
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American Journal of Medical Quality, Vol. 22, No. 6,
402-409 (2007)
DOI: 10.1177/1062860607307991
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