Word: duking
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...Gary Stiles, who runs Duke's Health Systems Network Development program, openly acknowledges that Duke's motives are more than just magnanimity. "We live in a very competitive market here. We either help people and catch them where we can, or we kiss them goodbye." So Duke goes out to Lumberton and Laurinburg, screens patients and transfers the sicker ones back to Duke, where they or their insurers will pay for them to get well. Duke also collaborates with community organizations in other cost-saving joint ventures, such as a child-abuse-prevention center, a teenage-pregnancy-prevention program...
Still, wary Durham residents are worried about Duke's ever expanding tentacles. The acquisition, completed in July, has caused some hard feelings among Durham Regional's staff physicians. They fear it will destroy Durham Regional's identity as the comfortable community hospital--and cut into their private practices. "The structure [of the partnership] has been developed, but we don't know how it is going to work," says Dr. Stuart Manning, president of the Durham Regional medical staff...
...Duke leaders say they're committed to maintaining the special character of DRH and the other facilities Duke acquires. "We depend on the community hospital," says Malcolm W. Isley, director of DUMC Affiliations, Duke's liaison with its growing empire. "We go out of business if the local community hospital goes out of business...
...ultimate test of Duke's affiliations and joint ventures is how patients in the communities it moves into feel about the care they receive. Angela Baldwin says Lincoln Community did a good job on Tyrece, and she plans to come back. That's good news for Duke, because even when hospitals buy each other up in big-dollar deals, medical practices are built one patient at a time...
...town to town and coast to coast along U.S. Highway 50. This week we take a similar high-impact approach to the vital subject of healing, in a 36-page special report on a week in the life of one of the nation's premier teaching hospitals. That institution, Duke University Medical Center in North Carolina, agreed to play host to 14 of our journalists, who examined everything from the effects of managed care and advances in medical research to the role of religion in patients' recovery...