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The Health Care Crisis
Impact on Surgery in the Community Hospital
Richard E. Welling, MD;
George M. Kerlakian, MD;
Claus von Zychlin, MBA;
John S. Prout, MHA;
Thomas A. Saladin, MD;
Elizabeth S. Weinberg, MD;
John E. Albers, MD
Arch Surg. 2001;136:176-179.
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INTRODUCTION
The multiple market forces affecting community hospitals are varied based on the geographic region of the country, the penetration of managed care, and the missions of individual community hospitals. There is not "one generic community hospital." Rather, they exist for different reasons. For most community hospitals, the mission is to provide health care to residents in the surrounding area. However, an important differentiating factor is whether the community hospital has a dual mission to support graduate medical education (GME).
Many graduates of surgical residency programs practice in community hospitals. For the most part, these hospitals do not sponsor GME training programs, they are frequently located outside major metropolitan areas, and their reimbursements are not as influenced by managed care. Because they have . . . [Full Text of this Article]
THE HOSPITAL
THE SURGEON IN A COMMUNITY HOSPITAL
THE PATIENT
GRADUATE MEDICAL EDUCATION
GENERAL SURGERY RESIDENCY PROGRAMS
VIEWPOINT OF A CURRENT GENERAL SURGERY RESIDENT
POSSIBLE SOLUTIONS
SUMMARY
From the Department of Surgery (Drs Welling, Kerlakian, Weinberg, and Albers), Administration (Messrs von Zychlin and Prout), and Medical Education and the E. Kenneth Hatton, MD, Institute for Research and Education (Dr Saladin), Good Samaritan Hospital, Cincinnati, Ohio.
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