Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Milbank Q. 1987;65(4):463-87.

Economic incentives and organizational realities: managing hospitals under DRGs.

Author information

  • 1Political Science Department, Massachusetts Institute of Technology, Cambridge 02139.

Abstract

Diagnosis-related Groups (DRGs) offer hospitals financial incentives to improve efficiency. To be effective, DRGs require a realignment of management so that physicians' use of resources can be disciplined by administrators. The constituency for altering power relationships within hospitals, however, is, at best, a weak one: administrators see their primary task as the protection of physicians' clinical autonomy. Constraints imposed on hospitals by regulators can be accommodated by minor adjustments in behavior that ensure neither gains in efficiency nor changes in decision-making authority.

PMID:
3132596
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Write to the Help Desk