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Problems Plaguing Public Hospitals: Uninsured Patient Transfers, Tight Funds, Mismanagement, and Misperception

Problems Plaguing Public Hospitals: Uninsured Patient Transfers, Tight Funds, Mismanagement, and... PUBLIC HOSPITALS today face serious problems. Four types of troubles seem paramount: transfers of uninsured patients from other providers, growing unavailability of working and building capital, the perceived or actual obstacles created by public ownership, and the lingering image problems born in the almshouses of centuries past. Transfers: "A Strange Symbiosis" Although the more genteel term is "economic transfers," house staff and public hospital advocates have long called it "dumping"—the practice of sending uninsured (and, in some cases, Medicaid-eligible) patients to public hospitals solely for economic reasons. "Dumping" is defined in many ways: transfer of unstabilized patients; transfer of patients who are stabilized; transfer of patients already admitted, in the middle of a hospital stay, because their insurance coverage has run out or has been found not to exist; or transfer of patients through organized or even formal arrangements. The key ingredient is the patient's lack of public or private http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Problems Plaguing Public Hospitals: Uninsured Patient Transfers, Tight Funds, Mismanagement, and Misperception

Friedman, Emily
JAMA , Volume 257 (14) – Apr 10, 1987
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Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1987.03390140016003
Publisher site
See Article on Publisher Site

Abstract

PUBLIC HOSPITALS today face serious problems. Four types of troubles seem paramount: transfers of uninsured patients from other providers, growing unavailability of working and building capital, the perceived or actual obstacles created by public ownership, and the lingering image problems born in the almshouses of centuries past. Transfers: "A Strange Symbiosis" Although the more genteel term is "economic transfers," house staff and public hospital advocates have long called it "dumping"—the practice of sending uninsured (and, in some cases, Medicaid-eligible) patients to public hospitals solely for economic reasons. "Dumping" is defined in many ways: transfer of unstabilized patients; transfer of patients who are stabilized; transfer of patients already admitted, in the middle of a hospital stay, because their insurance coverage has run out or has been found not to exist; or transfer of patients through organized or even formal arrangements. The key ingredient is the patient's lack of public or private

Journal

JAMA – American Medical Association

Published: Apr 10, 1987

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