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Managed care and processes to integrate physicians/hospitals

L R Burns1, M A Morrisey, J A Alexander

  • 1Department of Health Care Systems, Wharton School, University of Pennsylvania, Philadelphia, USA.

Health Care Management Review
|November 6, 1998
PubMed
Summary
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Hospitals widely use integrative processes to assimilate physicians. Their prevalence correlates with hospital size, location, teaching status, system membership, and managed care penetration levels.

Area of Science:

  • Health Services Research
  • Hospital Administration
  • Physician Integration

Background:

  • Hospitals increasingly adopt integrative processes to manage physician relationships.
  • Understanding these processes is crucial for effective hospital operations and physician alignment.

Purpose of the Study:

  • To determine the prevalence of various integrative processes used by hospitals to assimilate physicians.
  • To examine the association between these processes and hospital characteristics.
  • To assess the relationship with managed care penetration.

Main Methods:

  • National survey of 1,495 community hospitals.
  • Analysis of the utilization of different physician integrative processes.
  • Statistical assessment of correlations with hospital attributes and managed care levels.

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Main Results:

  • Integrative processes for physician assimilation are widely prevalent in community hospitals.
  • Larger, urban, teaching hospitals, and those in hospital systems more frequently use these processes.
  • Specific integrative processes show varying associations with managed care penetration thresholds.

Conclusions:

  • Hospitals extensively employ integrative strategies for physician assimilation.
  • Hospital characteristics significantly influence the adoption of these integration methods.
  • Managed care penetration acts as a contextual factor in the use of specific integrative processes.