Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The ties that bind: interorganizational linkages and physician-system alignment.

J A Alexander1, T M Waters, L R Burns

  • 1Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109, USA.

Medical Care
|August 8, 2001
PubMed
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

Food impaction: etiology over 35 years and association with eosinophilic esophagitis.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2019
Same author

Food impaction: etiology over 35 years and association with eosinophilic esophagitis.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2018
Same author

Assessing the incidence trend and characteristics of eosinophilic esophagitis in children in Olmsted County, Minnesota.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2018
Same author

Outcomes of oesophageal self-dilation for patients with refractory benign oesophageal strictures.

Alimentary pharmacology & therapeutics·2018
Same author

Incidence and predictors of osteoporotic fractures in patients with Barrett's oesophagus: a population-based nested case-control study.

Alimentary pharmacology & therapeutics·2017
Same author

Presence of intraepithelial food antigen in patients with active eosinophilic oesophagitis.

Alimentary pharmacology & therapeutics·2016
Same journal

Hepatitis C Virus Cascade of Care in Florida Emergency Departments.

Medical care·2026
Same journal

Association of Neighborhood Socioeconomic Disadvantage and Uptake of Diabetes Prevention Interventions.

Medical care·2026
Same journal

Machine Learning for Evaluating the Heterogeneous Effects of Intensive In-Hospital Rehabilitation During the Postacute Phase After Hip Fracture Surgery on Activities of Daily Living.

Medical care·2026
Same journal

Hospital-Physician Integration and Differences in the Use of Orthopedic Care Across Race and Ethnicity.

Medical care·2026
Same journal

Temporal Misalignment and Selection Bias in "Burn Pit Smoke Exposure and Sleep Apnea in US Veterans.

Medical care·2026
Same journal

The Impact of an Oncology Hospital at Home Program on Health Care Costs.

Medical care·2026
See all related articles

Physician alignment with healthcare systems strengthens with valued practice service linkages. Centralized administrative control may decrease alignment, while governance interlocks show weak associations. Alignment follows resource exchanges benefiting physicians.

Area of Science:

  • Health Services Research
  • Organizational Behavior
  • Physician-System Integration

Background:

  • Physician alignment with healthcare systems is crucial for effective integration and care delivery.
  • Understanding the factors influencing physician-system alignment is essential for optimizing organizational structures.
  • Interorganizational linkages play a key role in shaping physician engagement within healthcare systems.

Purpose of the Study:

  • To investigate the relationship between the degree of alignment between physicians and healthcare systems.
  • To examine the association between interorganizational linkages and physician-system alignment.
  • To identify factors that promote or hinder physician alignment within integrated healthcare networks.

Main Methods:

  • Cross-sectional, comparative analysis of 1,279 physicians in loosely affiliated arrangements and 1,781 physicians in 61 closely affiliated groups within 14 vertically integrated health systems.

Related Experiment Videos

  • Validated multi-item scales from physician surveys measured alignment; institutional, administrative, and technical core level linkages were assessed via administrator surveys.
  • Two-stage Heckman models with fixed effects adjustments were employed to address sample selection and clustering.

    • Main Results:

    • Physicians in groups with stronger valued practice service linkages demonstrated higher alignment with healthcare systems.
    • Centralized administrative control was associated with lower physician-system alignment on certain measures.
    • Governance interlocks showed only a weak association with physician-system alignment.

    Conclusions:

    • Physician alignment with healthcare systems is primarily driven by resource exchanges that offer value to physicians and their groups.
    • Maintaining control and authority within physician groups appears to be a key factor in successful alignment.
    • Effective alignment strategies should focus on mutually beneficial resource exchanges while respecting group autonomy.