Building the Best Team
Authors: David B. Nash
Journal: Annals of Internal Medicine (1997)

Editorials1 July 1997Building the Best TeamDavid B. Nash, MD, MBA and Ira S. Nash, MDDavid B. Nash, MD, MBAThomas Jefferson University Hospital, Philadelphia, PA 19107 (D. B. Nash).The Mount Sinai Medical Center, New York, NY 10029Search for more papers by this author and Ira S. Nash, MDThomas Jefferson University Hospital, Philadelphia, PA 19107 (D. B. Nash).The Mount Sinai Medical Center, New York, NY 10029Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-127-1-199707010-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The executives of a major medical center meet with the physician leadership to discuss the formation of their new physician hospital organization (PHO). The Vice President for Managed Care explains that a PHO is a necessary vehicle for entering into at-risk capitated contracts with local managed care organizations and employers, but then he adds that the current mix of primary care providers and specialists on the staff is ill-suited to capitated contracts. “Look,” he says, “it's as if we have a sports team made up only of guys with big salaries and narrow talents and there's a new league limit ...References1. Rivo ML, Satcher D. Improving access to health care through physician workforce reform. Directions for the 21st century. JAMA. 1993; 270:1074-8. Google Scholar2. Kassirer JP. Access to specialty care [Editorial]. N Engl J Med. 1994; 331:1151-3. Google Scholar3. Billi JE, Wise CG, Bills EA, Mitchell RL. Potential effects of managed care on specialty practice at a university medical center. N Engl J Med. 1995; 333:979-83. Google Scholar4. Rivo ML, Jackson DM, Clare FL. Comparing physician workforce reform recommendations. 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Romano PS, Roos LL, Luft HS, Jollis JG, Doliszny K. A comparison of administrative versus clinical data: coronary artery bypass surgery as an example. Ischemic Heart Disease Patient Outcomes Research Team. J Clin Epidemiol. 1994; 47:249-60. Google Scholar16. Naylor CD, Guyatt GH. Users guides to the medical literature. X. How to use an article reporting variations in the outcomes of health services. The Evidence-Based Medicine Working Group. JAMA. 1996; 275:554-8. Google Scholar17. Flood AB. The impact of organizational and managerial factors on the quality of care in health care organizations. Med Care Rev. 1994; 51:381-428. Google Scholar18. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. An evaluation of outcome from intensive care in major medical centers. Ann Intern Med. 1986; 104:410-8. Google Scholar Author, Article, and Disclosure InformationAffiliations: Thomas Jefferson University Hospital, Philadelphia, PA 19107 (D. B. Nash).The Mount Sinai Medical Center, New York, NY 10029Corresponding Author: David B. Nash, MD, MBA, Office of Health Policy and Clinical Outcomes, Thomas Jefferson University, 1015 Walnut Street, Philadelphia, PA 19107.Current Author Addresses: Dr. D. Nash: Office of Health Policy and Clinical Outcomes, Thomas Jefferson University, 1015 Walnut Street, Philadelphia, PA 19107. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByWhen meanings blur, do differences matter? Initiatives for improving the quality and integration of care: conceptual matrix or measurement maze?Disease Management Programs for COPDExploring the Generalist-Subspecialist Interface in Internal MedicineCoordinating Care across Diseases, Settings, and Clinicians: A Key Role for the Generalist in PracticeChristopher J. Stille, MD, MPH, Anthony Jerant, MD, Douglas Bell, MD, PhD, David Meltzer, MD, PhD, and Joann G. Elmore, MD, MPHThe Quadrants of Care Model for Health Services Planning.Chronic Illness Management: What Is the Role of Primary Care?Arlyss Anderson Rothman, PhD, MHS and Edward H. Wagner, MD, MPHDynamic Assessment in Disease ManagementA systematic review of the effects of physician specialty on the treatment of coronary disease and heart failure in the United StatesKnowledge, patterns of care, and outcomes of care for generalists and specialistsThe influence of gatekeeping and utilization review on patient satisfactionPROMISES AND PERILS OF MANAGED CARE FOR OLDER PATIENTS WITH CARDIAC DISEASEPrinciples of generalist-specialist relationshipsDefining educational priorities in managed careTraining Pulmonary and Critical Care Physicians in Outcomes ResearchGeneral internal medicine in Australia and New Zealand — a renaissance 1 July 1997Volume 127, Issue 1Page: 72-74KeywordsGamesHealth careHealth care providersHealth care qualityHealth economicsHealth information technologyPopulation statisticsPrimary careSportsSurgeons Issue Published: 1 July 1997 CopyrightCopyright © 1997 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...