Author Affiliations: Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, and Center for Research in the Implementation of Innovative Strategies for Practice (CRIISP), Iowa City Veterans Administration Medical Center, Iowa City, Iowa.
The emergence of specialty hospitals that focus on lucrative procedural aspects of medicine has generated a heated debate among policy makers1,2 that largely involves 4 issues: patient selection (ie, “cherry-picking” of healthier and wealthier patients by specialty hospitals); quality of care in specialty and general hospitals; impact of specialty hospitals on the financial health of general hospitals; and influence of specialty hospitals on utilization and health care costs.
Cram P, Rosenthal GE. Physician-Owned Specialty Hospitals and Coronary Revascularization UtilizationToo Much of a Good Thing?. JAMA. 2007;297(9):998-999. doi:10.1001/jama.297.9.998