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Sat Nov 1 19:57:26 GMT 2008

Doesa nyone have access to this article? I am not able to find it, even at
their website.

Andrew

On Sun, Sep 28, 2008 at 5:22 PM, <ALS79 at aol.com> wrote:

> For those interested in the origins of modern hospital-based medical
> helicopters, I offer the following - and forget about the Viet Nam military
> experience, which is often cited by today's historical revisionists or
> deconstructionists. Hospital managers of the early 1980's couldn't have
> cared less.
>
> The epicenter of modern hospital-based air medical services lies in an
> article published in the Harvard Business Review in 1980 entitled, "The
> Health Care
> Market: Can Hospitals Survive?" The article was written by Jeff C.
> Goldsmith,
> who at the time was the Director of Health Planning at the University of
> Chicago Medical Center. The piece addresses the economic survival of
> American
> hospitals, vis-a-vis impending regulatory and health policy changes.
>
> It was the first to coin the term "captive systems of distribution," which
> describes various methods that hospitals could use to escape their markets'
> geographical constraints, and pluck patients from other markets including
> their
> competitors'. Among many, Goldsmith named freestanding clinics, taxi cabs,
> ambulance services, outlying hospitals and aircraft to accomplish this
> patient
> feeder mission.
>
> Thereafter, hospital managers embraced this article as the "bible" for the
> future. That is where the whole medical helicopter issue really took off
> (so to
> speak), not because of Viet Nam successes, but rather as a vehicle for
> economic survival going forward. Seemingly, everyone was getting into the
> helicopter
> business. And, in the early '80's, the American Society for Hospital-Based
> Emergency Air Medical Services (ASHBEAMS) was founded in order to promote
> standardization and address safety concerns. It all metastasized from there
> - not out
> of some selfless or noble generosity on the part of hospital managers to
> better serve the public, but rather as a strategy to optimize in-house
> census and
> net revenues. Follow the money.
>
> The Health Care Market: Can Hospitals Survive?
> Jeff C, Goldsmith, Harvard Business Review
> (Sept-Oct); (p..100-112), 1980
>
> Bob Kellow
>
>
>
>
>
>
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