Accession Number : ADA293222

Title :   Frequency of Patient Feedback to Physicians.

Descriptive Note : Final rept. Jul 93-Jul 94,

Corporate Author : ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON

Personal Author(s) : Chambers, W. C.

PDF Url : ADA293222

Report Date : JUN 1994

Pagination or Media Count : 47

Abstract : Alvan Toffler (1990) described decision-making in today's environment with the terms "info-tactics," "meta-tactics," and "flex-firms" to capture the dynamics of an increasing rate of change in society. Today's health care administrators make daily strategic decisions about provider alliances, patient benefits, and other "managed care" options. Management and measurements of outcomes are sovereign (Coile 1990) . Meta-tacticians call this the WYMIWYG Principle--What You Measure Is What You Get (Toffler 1990). Increasing complexity and rates of change create chaotic turbulence in social and economic systems (Arthur, Ermoliev, and Kaniovski 1987; Arthur 1989; Waldrop 1992) . Joseph Ford, a physicist examining systems models exhibiting non-linear dynamics exclaimed, "Evolution is chaos with feedback" (Gleick 1997) The control of complex, higher-order, large-scale systems requires propinquity between feedback and processes (Lunze 1992). Health care is one of the most complex, higher-order, large-scale systems that exists. It is certainly a system in great social and economic turbulence. To competitively evolve the delivery of health care requires immediate information and feedback to enable flexible decision making at the lowest possible level: providers. pg7.. JMD

Descriptors :   *FEEDBACK, *PATIENTS, *MEDICAL SERVICES, *HEALTH CARE FACILITIES, *PHYSICIANS, CONTROL, DELIVERY, DECISION MAKING, ECONOMICS, MODELS, DYNAMICS, RATES, TURBULENCE, COSTS, NONLINEAR SYSTEMS, ADMINISTRATIVE PERSONNEL, BENEFITS, SOCIAL SCIENCES, PHYSICISTS.

Subject Categories : Humanities and History
      Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE