Shifting the Priorities and Values: A Commentary on Hiller and Gorsky

  • Lu Ann Aday
Part of the Philosophy and Medicine book series (PHME, volume 21)


In the ancient folk tale of ‘The Blind Men and the Elephant’, three blind men were asked to touch an elephant and then describe what it resembled. One man touched its side and said it was like a massive wall. Another, putting his arms around its leg, said it resembled a tall and sturdy tree. The third, grasping its trunk, argued that it must surely be slender and serpentine like a snake. Similarly, our own perspectives on problems often are shaped by the particular aspects we choose to see and by those which fall outside our particular views of the problems.


Cost Containment Hospital Administrator Service Orientation Governing Board Hospital Industry 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. [1]
    Altman, D.: 1983, ‘Health Care for the Poor’, Annals of the American Academy of Political and Social Sciences 468, 103–121.CrossRefGoogle Scholar
  2. [2]
    Anderson, O. W. and Gevitz, N.: 1983, ‘The General Hospital: A Social and Historical Perspective’, in D. Mechanic (ed.), Handbook of Health, Health Care, and the Health Professions, The Free Press, New York, pp. 305–317.Google Scholar
  3. [3]
    Carlson, R. J.: 1975, The End of Medicine, John Wiley & Sons, New York.Google Scholar
  4. [4]
    Davidson, S.: 1982, ‘Physician Participation in Medicaid: Background and Issues’, Journal of Health Politics, Policy and Law 6, 703–717.CrossRefGoogle Scholar
  5. [5]
    Dowling, W. L.: 1984, ‘The Hospital’, in S. J. Williams and P. R. Torrens (eds.), Introduction to Health Services, John Wiley & Sons, New York, pp. 172–215.Google Scholar
  6. [6]
    Fleming, G. V.: 1981, ‘Hospital Structure and Consumer Satisfaction’, Health Services Research 16, 43–63.Google Scholar
  7. [7]
    Freidson, E.: 1970, Profession of Medicine, Harper & Row, Publishers, New York.Google Scholar
  8. [8]
    Goldsmith, J. C.: 1981, Can Hospitals Survive? The New Competitive Health Care Market, Dow Jones-Irwin, Homewood, Illinois.Google Scholar
  9. [9]
    Illich, I.: 1976, Medical Nemesis: The Expropriation of Health, Bantam Books, Toronto.Google Scholar
  10. [10]
    Jonsen, A. R. et al.: 1982, Clinical Ethics, Macmillan Publishing Co., Inc., New York.Google Scholar
  11. [11]
    Komaroff, A. L.: 1983, ‘The Doctor, the Hospital, and the Definition of Proper Medical Practice’, in President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, Securing Access to Health Care: The Ethical Implications of Differences in the Availability of Health Services. Vol. Three: Appendices, pp. 225–251.Google Scholar
  12. [12]
    McCullough, L. B.: 1985, ‘Moral Dilemmas and Economic Realities’, Hospital and Health Services Administration 30, 63–75.Google Scholar
  13. [13]
    McNerney, W. J.: 1985, ‘Managing Ethical Dilemmas’, Journal of Health Administration Education 3, 331–340.Google Scholar
  14. [14]
    Mitchell, J. B. and Cromwell, J.: 1980, ‘Medicaid Mills: Fact or Fiction’, Health Care Financing Review 2, 37–49.Google Scholar
  15. [15]
    Oglesby, D. K., Jr.: 1985, ‘Ethics and Hospital Administration’, Hospital & Health Services Administration 30, 29–43.Google Scholar
  16. [16]
    Pattison, R. V. and Katz, H. M.: 1983, ‘Investor-owned and Not-for-profit Hospitals’, New England Journal of Medicine 309, 347–353.CrossRefGoogle Scholar
  17. [17]
    Rogers, S. J., et al.: 1985, Hospitals and the Uninsured Poor: Measuring and Paying for Uncompensated Care, United Hospital Fund of New York, New York.Google Scholar
  18. [18]
    Salmon, J. W.: 1985, ‘Profit and Health Care: Trends in Corporatization and Proprietization’, International Journal of Health Services 15, 395–418.CrossRefGoogle Scholar
  19. [19]
    Sauer, J. E., Jr.: 1985, ‘Ethical Problems Facing the Healthcare Industry’, Hospitals and Health Services Administration 30, 44–53.Google Scholar
  20. [20]
    Shakno, R. J. (ed.): 1984, Physician’s Guide to DRGs, Pluribus Press, Chicago.Google Scholar
  21. [21]
    Shortell, S. and Kaluzny, A.: 1983, Health Care Management: A Text in Organization Theory and Behavior, John Wiley & Sons, New York.Google Scholar
  22. [22]
    Sloan, F. A. and Vraciu, R. A.: 1983, ‘Investor-owned and Not-for-profit Hospitals: Addressing Some Issues’, Health Affairs 2, 25–37.CrossRefGoogle Scholar
  23. [23]
    Spivey, B. E.: 1984, ‘The Relation Between Hospital Management and Medical Staff Under a Prospective Payment System’, New England Journal of Medicine 310, 984–986.CrossRefGoogle Scholar
  24. [24]
    Starr, P.: 1982, The Social Transformation of American Medicine, Basic Books, Inc., New York.Google Scholar
  25. [25]
    Summers, J. W.: 1985, ‘Closing Unprofitable Services: Ethical Issues and Management Responses’, Hospital & Health Services Administration 30, 8–28.Google Scholar
  26. [26]
    Tarlov, A. R.: 1983, ‘Shattuck Lecture: The Increasing Supply of Physicians, the Changing Structure of the Health Services System, and The Future Practice of Medicine’, New England Journal of Medicine 308, 1235–1244.CrossRefGoogle Scholar

Copyright information

© D. Reidel Publishing Company 1986

Authors and Affiliations

  • Lu Ann Aday
    • 1
  1. 1.School of Public HealthUniversity of Texas Health Science CenterHoustonUSA

Personalised recommendations