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Conflict Resolution Management Between Healthcare Managers and Physicians

Sigut, Brent (2013) Conflict Resolution Management Between Healthcare Managers and Physicians. Master Essay, University of Pittsburgh.

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Healthcare delivery in the United States has undergone a complete transformation in the past 75 years. Dramatic changes have occurred in critical functional areas such as medical technology, reimbursement methodologies, employment arrangements, and other important administrative and clinical areas. Despite the influx of changes, one particular structural aspect has not changed. The adversarial relationship between the medical provider community and healthcare managers has continued to be a normal part of the daily functioning in healthcare environments. Healthcare industry participants would suggest that the dysfunctional relationships between doctors and mangers have intensified with each passing decade. With the United States’ recent recognition that the current system of health care is trending towards an unsustainable financial future, along with the recent passage of the Patient Protection and Affordable Care Act (ACA), the primary goal of all new healthcare public policy has been to increase access and improve quality. By achieving ACA’s primary goals, cost reductions become a secondary positive outcome. These objectives can be accomplished only by means of a systems thinking approach in which healthcare providers and healthcare managers work in tandem.This essay explores the origins of the adversarial relationships between medical providers and healthcare managers. Conclusions are drawn that place current emphasis on the inability of providers and mangers to engage in effective communication due to structural roadblocks. Systemic structural barriers enmeshed in long-standing institutional systems of education, in addition to a healthcare system that is inherently structurally flawed, create multiple opportunities for conflict between providers and managers. Strategies including alternative dispute resolution and the use of communication tools will be explored as methods to reduce conflict. Understanding the conflicts between healthcare managers and physicians highlights the importance of resolving these conflicts within the new framework of healthcare delivery in the United States. A continuation of the current adversarial relationship between doctors and managers has direct impact on public health. This issue has public health relevance due to the fact that if left unsolved it will work in opposition to the basic tenets of the Affordable Care Act leading directly to more costly health care and contributing to poor health outcomes for all healthcare consumers.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Sigut, Brent
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairLongest, Beaufortlongest@pitt.eduLONGESTUNSPECIFIED
Committee MemberTerry, Martha Annmaterry@pitt.eduMATERRYUNSPECIFIED
Date: 2013
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: No
Date Deposited: 11 Feb 2014 20:40
Last Modified: 30 Mar 2022 10:56


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