Details

Autor(en) / Beteiligte

• Budetti, Peter P
• Shortell, Stephen M
• Waters, Teresa M
• Alexander, Jeffre A
• Burns, Lawton R
• Gillies, Robin R
• Zuckerman, Howard

Titel

Physician and health system integration

Ist Teil von

• Health Affairs, 2002-01, Vol.21 (1), p.203-210

Ort / Verlag

United States: The People to People Health Foundation, Inc., Project HOPE

Erscheinungsjahr

2002

Quelle

PAIS Index

Beschreibungen/Notizen

• Incentives for vertical integration in the health care industry have led many hospitals to consolidate into health systems and profess a desire for closer alignment with affiliated physicians. In this study of fourteen organized delivery systems and their 11,000 physicians in sixty-nine medical groups, we found that many health systems did not align well with physicians. Even systems ostensibly committed to alignment emphasized structural relationships that did not enhance physician-system alignment and paid inadequate attention to issues of importance to physicians. This gap between the goal and reality of physician-system alignment appears to be the result of systems' responding to a changing mix of policies, not all of which foster integration.