Samuel P. Martin

Managing the Medical–Industrial Complex

Emerging trends toward competition, entrepreneurship, and incorporation within both nonprofit and proprietary health care organizations have been discussed in these pages with increasing frequency....

Radiation therapy in New Hampshire, Massachusetts and Rhode Island. Output and cost.

Abstract There are large variations in input, output and cost of radiation therapy among different categories of hospitals. Hospitals with similar patient loads exhibit similar investment, staffing...

Issues of the Future in Health

Care of the patient, institutionalization, cost effectiveness, and quality control are the issues of the future in the field of health. With health expenditures projected to reach between

The Role of the Federal Government in Financing Health and Medical Services.

156 and

Inputs into Coronary Care During 30 Years: A Cost Effectiveness Study

189 billion (8 to 9.8 percent of the Gross National Product) by 1980, the national policy on health care, both present and future, will be of major concern to the body politic. The patient will be seeking hegemony over the health care system to influence it to meet his needs. Institu tionalization of the system will yield greater effectiveness and efficiency. A new emphasis on cost effectiveness will necessi tate an evaluation of all methods of care by objective criteria that are concerned both with productivity of resources and with end results. Quality control of health care will become a new concern of the public, superseding the individual responsi bility of the single practitioner. Taken together, these devel opments will characterize efforts to attain the practical manage ment of a highly complex and diversified social endeavor con cerned with the supplying of human services.

INTRAMUSCULAR AND SUBCUTANEOUS ADMINISTRATION OF PENICILLIN IN BEESWAX-PEANUT OIL

Public sector spending and private sector spending for health and medical services have tended to parallel one another over the past four decades. Although total expenditures have grown dramatically, the relationship between the two sectors has not. Government gradually increased its support and provision of health care between 1929 and 1940. Between 1940 and 1966 government spending for health care remained at a plateau. The federal governments major participation since 1966 has been through its role as a transfer agent for the Medicare trust fund, acting as an intermediary, rather than through the expenditure of general revenues for health and medical care services. Rising costs and increased demand for medical services will probably force a larger financial role upon government.