Dual Agency: A Fresh Perspective to Identify Dilemma Mitigation Strategies – A Response to the Recent Commentaries

Document Type : Correspondence

Authors

1 Department of Health Care Management, Faculty of Economics & Management, Technical University Berlin, Berlin, Germany

2 The Smokler Center for Health Policy Research, Myers-JDC-Brookdale Institute, Jerusalem, Israel

3 European Observatory on Health Systems and Policies, Brussels, Belgium

4 Department of Health Systems Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

Keywords


We were pleased to read the eight commentaries on our paper entitled “Dual agency in hospitals: how do managers and physicians reconcile clinical and economic considerations?,”1 and are happy to respond to them in this short correspondence. It was interesting to see how our article created a broad echo, and was relevant to various disciplines, ranging from medical ethics2 to sociology of professions,3 management of organizations,4 to name a few. ...(Read more...)

  1. Waitzberg R, Gottlieb N, Quentin W, Busse R, Greenberg D. Dual agency in hospitals: what strategies do managers and physicians apply to reconcile dilemmas between clinical and economic considerations? Int J Health Policy Manag. 2021;11(9):1823-1834. doi:34172/ijhpm.2021.87
  2. Sirris S. Navigating dichotomies and dilemmas: Comment on "dual agency in hospitals: what strategies do managers and physicians apply to reconcile dilemmas between clinical and economic considerations?” Int J Health Policy Manag. 2022. doi:34172/ijhpm.2022.6965
  3. Cascón-Pereira R. Hospital professionals as dual agents: a superordinate identity to solve interprofessional conflicts in hospitals? Comment on "dual agency in hospitals: what strategies do managers and physicians apply to reconcile dilemmas between clinical and economic considerations?” Int J Health Policy Manag. 2022. doi:34172/ijhpm.2022.6928
  4. Andersson T. If it is complex, let it be complex - dealing with institutional complexity in hospitals: Comment on "dual agency in hospitals: what strategies do managers and physicians apply to reconcile dilemmas between clinical and economic considerations?” Int J Health Policy Manag. 2022. doi:34172/ijhpm.2022.6922
  5. Bijlmakers L. Systems science and evidence-informed deliberation to mitigate dilemmas in situations of dual agency at the hospital level: Comment on "dual agency in hospitals: what strategies do managers and physicians apply to reconcile dilemmas between clinical and economic considerations". Int J Health Policy Manag. 2022. doi:34172/ijhpm.2022.6940
  6. Ewert B. In need of renewal rather than reconciliation: why we cannot be satisfied with hospital management's status quo: Comment on "dual agency in hospitals: what strategies do managers and physicians apply to reconcile dilemmas between clinical and economic considerations?” Int J Health Policy Manag. 2022. doi:34172/ijhpm.2022.6859
  7. Greener I. The dilemmas of leading health organizations in complex settings: Comment on "dual agency in hospitals: what strategies do managers and physicians apply to reconcile dilemmas between clinical and economic considerations?” Int J Health Policy Manag. 2022. doi:34172/ijhpm.2022.7252
  8. Greve HR. Dual Goals, Dual agency: the perils of measurement and control: Comment on "dual agency in hospitals: what strategies do managers and physicians apply to reconcile dilemmas between clinical and economic considerations?” Int J Health Policy Manag. 2022. doi:34172/ijhpm.2022.6764
  9. Lipworth W. Moral lacunae in the management of dual agency dilemmas: Comment on "dual agency in hospitals: what strategies do managers and physicians apply to reconcile dilemmas between clinical and economic considerations?” Int J Health Policy Manag. 2022. doi:34172/ijhpm.2022.6779
  10. Ellis RP. Creaming, skimping and dumping: provider competition on the intensive and extensive margins. J Health Econ. 1998;17(5):537-555. doi:1016/s0167-6296(97)00042-8
  11. Geissler A, Quentin W, Scheller-Kreinsen D, Busse R. Introduction to DRGs in Europe: common objectives across different hospital systems. In Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals 9-21. Open University Press McGraw-Hill Education; 2011.
  12. Rosen B, Waitzberg R, Merkur S. Israel: health system review. Health Syst Transit. 2015;17(6):1-212.
  13. Blümel M, Spranger A, Achstetter K, Maresso A, Busse R. Germany: health system review. Health Syst Transit. 2020;22(6):1-272.
  14. European Observatory on Health Systems and Policies. Italy: Country Health Profile 2021. https://eurohealthobservatory.who.int/publications/m/italy-country-health-profile-2021.
  15. European Observatory on Health Systems and Policies. Spain: Country Health Profile 2021. https://eurohealthobservatory.who.int/publications/m/spain-country-health-profile-2021.
  16. European Observatory on Health Systems and Policies. Norway: Health System Summary. 2022. https://eurohealthobservatory.who.int/publications/i/norway-health-system-summary.
  17. Anderson M, Pitchforth E, Edwards N, Alderwick H, McGuire A, Mossialos E. United Kingdom: health system review. Health Syst Transit. 2022;24(1):1-194.
  18. Albreht T, Polin K, Pribakovic ́ Brinovec R, et al. Slovenia: Health System Summary. 2022. https://eurohealthobservatory.who.int/publications/i/slovenia-health-system-summary

Articles in Press, Corrected Proof
Available Online from 24 October 2022
  • Receive Date: 12 October 2022
  • Revise Date: 13 October 2022
  • Accept Date: 22 October 2022
  • First Publish Date: 24 October 2022