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The New Medical-Industrial Complex
Open accessAbstract
The most important health-care development of the day is the recent, relatively unheralded rise of a huge new industry that supplies health-care services for profit. Proprietary hospitals and nursing homes, diagnostic laboratories, home-care and emergency-room services, hemodialysis, and a wide variety of other services produced a gross income to this industry last year of about $35 billion to +40 billion. This new "medical-industrial complex" may be more efficient than its nonprofit competition, but it creates the problems of overuse and fragmentation of services, overemphasis on technology, and "cream-skimming," and it may also exercise undue influence on national health policy. In this medical market, physicians must act as discerning purchasing agents for their patients and therefore should have no conflicting financial interests. Closer attention from the public and the profession, and careful study, are necessary to ensure that the "medical-industrial complex" puts the interest of the public before those of its stockholders.
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Citations
Cited by
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Thompson, D. F. (1993) · New England Journal of Medicine · doi:10.1056/nejm199308193290812 · Cited by 854
Biomedicalization: Technoscientific Transformations of Health, Illness, and U.S. Biomedicine
Clarke, A. E., Shim, J. K., Mamo, L., Fosket, J. R., & Fishman, J. R. (2003) · American Sociological Review · doi:10.1177/000312240306800201 · Cited by 560
Barsky, A. J. (1988) · New England Journal of Medicine · doi:10.1056/nejm198802183180705 · Cited by 301
OM Forum—Healthcare Operations Management: A Snapshot of Emerging Research
Dai, T., & Tayur, S. (2020) · Manufacturing & Service Operations Management · doi:10.1287/msom.2019.0778 · Cited by 147
Allen, M. R., Webb, S., Mandvi, A., Frieden, M., Tai-Seale, M., & Kallenberg, G. (2024) · BMC Primary Care · doi:10.1186/s12875-024-02282-y · Cited by 100
Metadata
- Authors
- Relman, A. S.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1980-10-23
- Volume
- 303
- Issue
- 17
- Pages
- 963-970
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2328237668
- Cited by
- 711
- References
- 0
- FWCI
- 76.22
- Type
- journal article
- Language
- en
- Open access
- bronze
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
