Interview with a Hospital Administrator

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Then, once the patient is hospitalized, there is a lot of pressure put to bear on the physician to do what he has to do, and to send that patient home as quickly as possible. For certain health problems, we do not even see patients admitted for inpatient care anymore. Certain procedures and treatments are done strictly on an outpatient basis. So we have seen an increase in outpatient and clinic services, and a decrease - a drastic decrease in inpatient services and length of stays.

I would predict that we will continue to see that decrease and perhaps elimination altogether of inpatient care, except in the most emergency oriented cases and surgeries. Then, as soon as the procedure is done, I would anticipate that we will see people sent home, where visiting nurses will see them once or twice a week while they recover. It is a very serious direction that I see health care moving in. For all our modern technology, in many ways, it seems like we are regressing fast in the delivery of health care.

What are ways in which the hospital and its providers interact with the public health system?

That relationship is much more recognizable today than it was five years ago. As much as possible, we see hospitals moving patients in the direction of public health systems when they are uninsured, or when managed care refuses to allow them access to their benefits and treatment. We see many more people using the health clinic services that offer sliding scales based on income. People who have no insurance, or especially people suffering from mental and nervous conditions, are referred to the public health centers for follow-up care and treatments.

Do you believe there is adequate coordination between the public health system and

the health care delivery system in general?

There is a greater coordination between the private health care providers and the public health systems these days because it is necessary. There is no other source for many patients who come through the private system to receive follow-up care other than the public health system. Where there was once virtually very little coordination between private and public systems, today we see extensive coordination because…[continue]

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"Interview With A Hospital Administrator" (2008, October 29) Retrieved July 3, 2015, from

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