Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Hospital-physician vertical integration.

J R Wheeler, T M Wickizer, S M Shortell

Hospital & Health Services Administration

|February 9, 1986

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Vascular Prosthetics: the Gore-Tex ePTFE Stretch Graft.

Surgical technology international·2015

Same author

Reaction to the short communication by Ghose et al.

Environmental toxicology and chemistry·2014

Same author

Molecular and cellular effects of chemicals disrupting steroidogenesis during early ovarian development of brown trout (Salmo trutta fario).

Environmental toxicology·2011

Same author

Ecotoxicology of synthetic pyrethroids.

Topics in current chemistry·2011

Same author

Development of an ex vivo brown trout (Salmo trutta fario) gonad culture for assessing chemical effects on steroidogenesis.

Aquatic toxicology (Amsterdam, Netherlands)·2011

Same author

Treatment of glaucoma.

Transactions. Ophthalmological Society of the United Kingdom·2010

Same journal

Managing the human side of change in VA's transformation.

Hospital & health services administration·1999

Same journal

Organization design of integrated delivery systems.

Hospital & health services administration·1999

Same journal

Strategic alliances in healthcare: opportunities for the Veterans Affairs healthcare system.

Hospital & health services administration·1999

Same journal

Visionary leadership and the future of VA health system.

Hospital & health services administration·1999

Same journal

Organizational culture: the critical link between strategy and results.

Hospital & health services administration·1999

Same journal

Transferring managed care principles to VA.

Hospital & health services administration·1999

See all related articles

Vertical integration, where hospitals develop primary care group practices, increased hospital utilization and market share. This strategy also improved the outpatient payer mix for participating hospitals.

Area of Science:

Healthcare Management
Health Services Research
Hospital Administration

Background:

Hospitals pursue vertical integration to enhance financial stability amid growing competition.
Vertical integration involves expanding services, often into primary care, to capture more patients.

Purpose of the Study:

To evaluate the impact of vertical integration on hospital utilization and market share.
To assess how developing primary care group practices affects hospital performance.

Main Methods:

Analysis of data from hospitals participating in a national demonstration program (1976-1982).
Comparison of inpatient days, admissions, and market share before and after group practice establishment.

Main Results:

Related Experiment Videos

Average hospital inpatient days increased by 9.0% and admissions by 8.2%.
Hospital market share for inpatient days rose by 4.9% and admissions by 3.6%.
Participating hospitals experienced a more favorable outpatient payer mix.

Conclusions:

Vertical integration through primary care group practices can significantly boost hospital utilization and market share.
This strategy appears effective for hospitals seeking to improve financial viability and market position.