Hired Help: A Physician's Experiences in a For-Profit Staff-Model HMO

James W. Hudson; Howard Brody; Richard E. Rohr; Stuart Keith Sutton; John G. Smillie; Jay A. Horn; Bernard J. Katz; Henry Scovern

doi:10.1056/NEJM198901193200315

Hired Help: A Physician's Experiences in a For-Profit Staff-Model HMO

James W. Hudson, Howard Brody, Richard E. Rohr, Stuart Keith Sutton, John G. Smillie, Jay A. Horn, Bernard J. Katz, Henry Scovern

Research output: Contribution to journal › Letter › peer-review

Abstract

To the Editor: Dr. Scovern's Sounding Board article (Sept. 22 issue)* describes conflicts among cost containment, high-quality patient care, and the physician's need for job satisfaction in the setting of a health maintenance organization (HMO). However, in other HMOs these problems do not arise to the degree Scovern indicates. Specific details of his article suggest elements that were lacking in his case that can make the difference between a smoothly running HMO and an ethically problematic one. First, Dr. Scovern is apparently a subspecialist with certification in allergy and rheumatology who was nevertheless expected to function in his HMO as….

Original language	English (US)
Pages (from-to)	185-187
Number of pages	3
Journal	New England Journal of Medicine
Volume	320
Issue number	3
DOIs	https://doi.org/10.1056/NEJM198901193200315
State	Published - Jan 19 1989
Externally published	Yes

ASJC Scopus subject areas

General Medicine

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10.1056/NEJM198901193200315

Cite this

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title = "Hired Help: A Physician's Experiences in a For-Profit Staff-Model HMO",

abstract = "To the Editor: Dr. Scovern's Sounding Board article (Sept. 22 issue)* describes conflicts among cost containment, high-quality patient care, and the physician's need for job satisfaction in the setting of a health maintenance organization (HMO). However, in other HMOs these problems do not arise to the degree Scovern indicates. Specific details of his article suggest elements that were lacking in his case that can make the difference between a smoothly running HMO and an ethically problematic one. First, Dr. Scovern is apparently a subspecialist with certification in allergy and rheumatology who was nevertheless expected to function in his HMO as….",

author = "Hudson, {James W.} and Howard Brody and Rohr, {Richard E.} and Sutton, {Stuart Keith} and Smillie, {John G.} and Horn, {Jay A.} and Katz, {Bernard J.} and Henry Scovern",

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T2 - A Physician's Experiences in a For-Profit Staff-Model HMO

AU - Hudson, James W.

AU - Brody, Howard

AU - Rohr, Richard E.

AU - Sutton, Stuart Keith

AU - Smillie, John G.

AU - Horn, Jay A.

AU - Katz, Bernard J.

AU - Scovern, Henry

PY - 1989/1/19

Y1 - 1989/1/19

N2 - To the Editor: Dr. Scovern's Sounding Board article (Sept. 22 issue)* describes conflicts among cost containment, high-quality patient care, and the physician's need for job satisfaction in the setting of a health maintenance organization (HMO). However, in other HMOs these problems do not arise to the degree Scovern indicates. Specific details of his article suggest elements that were lacking in his case that can make the difference between a smoothly running HMO and an ethically problematic one. First, Dr. Scovern is apparently a subspecialist with certification in allergy and rheumatology who was nevertheless expected to function in his HMO as….

AB - To the Editor: Dr. Scovern's Sounding Board article (Sept. 22 issue)* describes conflicts among cost containment, high-quality patient care, and the physician's need for job satisfaction in the setting of a health maintenance organization (HMO). However, in other HMOs these problems do not arise to the degree Scovern indicates. Specific details of his article suggest elements that were lacking in his case that can make the difference between a smoothly running HMO and an ethically problematic one. First, Dr. Scovern is apparently a subspecialist with certification in allergy and rheumatology who was nevertheless expected to function in his HMO as….

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Hired Help: A Physician's Experiences in a For-Profit Staff-Model HMO

Abstract

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