Have hospital medical staffs been caught unawares by a more permissive medical staff standard? Is chaos inevitable in light of the new standard? No on both counts, says the author, although reconfiguring medical staffs to adapt to changes in the health care field is a time-consuming process of evolution.
As shown by the survey, from 1973 to 1982: . The percentage of hospitals requiring certification of some or all specialties has nearly quadrupled. . During the same period, the percentage of hospitals compensating the chief of the medical staff and the director of medical education approximately doubled. . In 1981, the primary care physicians at more than 50 percent of the responding hospitals sent over half of their admissions elsewhere. . Approximately 22 percent of hospital admissions were generated by the top five admitters in 1981.
Net data reveal surprises in size, composition, committee structure, and participation in governance. From 1973 to 1982: Medical staff size has grown by an average of 55 percent. The number of medical staff committees in the average hospital has nearly doubled. Nearly 30 percent more hospitals have made physicians voting members of their governing boards.
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