news
Wow.
At our hospital, there have been slow changes that probably began about 3-4 years ago after a very influential administrator published an editorial in JAMA (journal of the american medical association) about the Urban Health Initiative. Long story short, the goals are to make academic medical centers highly subspecialized and to prop up community hospitals to make them capable of taking care of simpler, more straightforward general medical problems.
Bottomline, our hospital would like to change its "payor-mix" i.e. they want less patients on public aid.
I'm sure it's not all evil and I like to think that the implications of this ideology are way bigger than we can imagine right now... and we have yet to determine what its effects will be, exactly. Maybe it will be better for the overall community... or maybe it will be a lot worse. What we do know is that currently it is affecting the education of future physicians and is likely affecting the health of our immediate community in which we serve.
I'm a little surprised this hasn't gotten more attention in the media. I found this one article here that talks about how the economy has affected the hospital, most of which totally misses the boat because these changes have been happening way before the economy tanked.
The thing that hurts the most is that there are key people who fight for us, the training physicians. who fight for education. who fight for serving our community. And this past week, many of them have announced their resignation. Ouch. Sadness.
All I can keep thinking is... thank god we're leaving soon.
At our hospital, there have been slow changes that probably began about 3-4 years ago after a very influential administrator published an editorial in JAMA (journal of the american medical association) about the Urban Health Initiative. Long story short, the goals are to make academic medical centers highly subspecialized and to prop up community hospitals to make them capable of taking care of simpler, more straightforward general medical problems.
Bottomline, our hospital would like to change its "payor-mix" i.e. they want less patients on public aid.
I'm sure it's not all evil and I like to think that the implications of this ideology are way bigger than we can imagine right now... and we have yet to determine what its effects will be, exactly. Maybe it will be better for the overall community... or maybe it will be a lot worse. What we do know is that currently it is affecting the education of future physicians and is likely affecting the health of our immediate community in which we serve.
I'm a little surprised this hasn't gotten more attention in the media. I found this one article here that talks about how the economy has affected the hospital, most of which totally misses the boat because these changes have been happening way before the economy tanked.
The thing that hurts the most is that there are key people who fight for us, the training physicians. who fight for education. who fight for serving our community. And this past week, many of them have announced their resignation. Ouch. Sadness.
All I can keep thinking is... thank god we're leaving soon.
posted by Vivian | 1:57 PM
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