Analyses of the resource flow, of the dynamics of social exchange in the health care delivery process, and of the attendant reinforcement contingencies acting on the provider—each of these, in turn, compel the conclusion that the omission of fees-for-service, as in military medicine, is responsible for the deleterious effects that have come to be associated with applications of socialized medicine. Substituting systematized evaluative information feedback for fees-for-service may be a way to compensate for the inherent structural weakness in the socialized medicine model and thus to improve health care delivery in military and other socialized medicine systems.
References
1.
AdamsJ. S.Toward an understanding of inequity. Journal of Abnormal and Social Psychology, 1963, 67, 422–436.
2.
AdamsJ. S.Injustice in social change. In BerkowitzL. (Ed.), Advances in experimental social psychology. Vol. 2. New York: Academic Press, 1965. Pp. 267–299.
3.
DatelW. E.The Fort Ord Merit-Reward System. Defense Documentation Center, Alexandria, VA, 1972. (Document AD No. 743 213).
4.
FersterC. B.SkinnerB. F.Schedules of reinforcement. New York: Appleton-Century-Crofts, 1957.
5.
HomansG. C.Social behavior: Its elementary forms. New York: Harcourt, Brace & World, 1961.
6.
JacobsT. O.Leadership and exchange in formal organizations. HumRRO, Alexandria, VA, 1971.
7.
LipeD.JungS. M.Manipulating incentives to enhance school learning. Review of Educational Research, 1971, 41, 249–280.
8.
LockeE. A.CartledgeN.KoeppelJ.Motivational effects of knowledge of results: A goal-setting phenomenon?Psychological Bulletin, 1968, 70, 474–485.
9.
MillerJ. G.Living systems: The organization. Behavioral Science, 1972, 17, 1–182.
10.
MooreH. G.TutenJ. M.Building a volunteer army: The Fort Ord contribution. Washington, D. C.: U. S. Government Printing Office, 1975. Chapter III. (Stock No. 008-020-0566-5).
11.
NordW. R.Beyond the teaching machine: The neglected area of operant conditioning in the theory and practice of management. Organizational Behavior and Human Performance, 1969, 4, 375–401. (a).
12.
NordW. R.Social exchange theory: An integrative approach to social conformity. Psychological Bulletin, 1969,71, 174–208. (b).
13.
O'LearyK. E.DrabmanR.Token reinforcement programs in the classroom: A review. Psychological Bulletin, 1971, 75, 379–398.
14.
OpsahlR. L.DunnetteM. D.The role of financial compensation in industrial motivation. Psychological Bulletin, 1966, 66, 94–118.
15.
PanyonM.BoozerH.MorrisN.Feedback to attendants for applying operant techniques. Journal of Applied Behavior Analysis, 1970, 3, 1–4.
