News Headlines Article

Shouldn’t Doctors Control Hospital Care?
Op/Ed: The New York Times

 Who ultimately should be in charge of care at our nation’s hospitals — physicians or businesspeople?

In January 2016, the board of directors at Tulare Regional Medical Center, a small community hospital in central California, voted to terminate the elected leaders of its medical staff office. Medical staff offices help ensure that patient needs are kept separate from business imperatives, such as increasing hospital profits. They have historically operated independently of hospital administrators.

Citing deficiencies in the elected leaders’ performance, the Tulare board appointed new officers without an election. The board also passed new bylaws written without the input of the hospital’s physicians, including some stating that physicians’ “status” at the hospital would depend on the number of patients they admitted — in other words, their economic value to the facility.