" The Most Complicated Piece of Health Care is the Revenue " (Say What?) - The Shameless Managerialism of a Hospital CEO

IntroductionManagerialism, in my humble opinion, is one of the major reasons why the US health care system is so dysfunctional.  We have long discussed how people whom we first called "generic managers" have taken over health care.  Increasingly, health care organizations, including hospitals, pharmaceutical companies, health insurance companies, government agencies, etc are now led by people with management training, but not necessarily with any training or background in medicine, biomedical research, epidemiology, public health, or health care policy. We began noting how suchgeneric managers often prioritize short-term revenue over all other concerns, presumably based on the shareholder value dogma taught in business schools (lookhere).  Worse, generic managers may be ignorant of, misunderstand, or be frankly hostile to the core values of health care professionals.  (See our posts onmission-hostile management.)More recently, we found that our observations could be better described as aspects of "managerialism. "  Wenoted an important article that in the June, 2015 issue of the Medical Journal of Australia(1) that made these points about managerialism:- businesses of all types are now largely run by generic managers, trained in management but not necessarily knowledgeable about the details of the particular firm ' s business- this change was motivated byneoliberalism (also known aseconomism ormarket fundamentalism)- managerialism now affects all kind...

Source: Health Care Renewal - June 2, 2017 Category: Health Management Tags: generic management generic managers managerialism mission-ignorant management Source Type: blogs