PMID- 10181800
OWN - NLM
STAT- MEDLINE
DCOM- 19980910
LR  - 20220316
IS  - 1096-9012 (Print)
IS  - 1096-9012 (Linking)
VI  - 43
IP  - 3
DP  - 1998 May-Jun
TI  - Assessing the extent of integration achieved through physician-hospital 
      arrangements.
PG  - 242-61; discussion 261-2
AB  - In this article we examine management service organizations (MSOs), 
      physician-hospital organizations (PHOs), hospital-affiliated independent practice 
      associations (IPAs), and hospital-sponsored "group practices without walls" 
      (GPWWs) that allow physicians to retain their practices and link hospitals and 
      health systems to physicians through contractual arrangements. Also examined were 
      medical foundations (MFs), integrated salary models (ISMs), and integrated health 
      organizations (IHOs) that own the physical assets of physician practices and 
      contract with payors for physician and hospital services. The research provides 
      several new insights for understanding the structure and process of 
      physician-hospital integration. It was found that the extent of processual 
      integration in physician-hospital organizational arrangements can be measured 
      along six dimensions: administrative and practice management services; physician 
      financial risk-sharing; joint ventures to create new services; computer linkages; 
      physician involvement in strategic planning; and salaried physician arrangements. 
      These dimensions are consistent with the conceptual and empirical dimensions 
      developed by others. These findings refute the notion raised by some industry 
      observers that the new physician-hospital organizational models simply formalize 
      integrative activities already in place. Earlier studies from the 1980s reported 
      that hospitals integrated physicians through involvement in governance, capital 
      planning, and the provision of practice management services. In contrast, we 
      found that current integration.
FAU - Dynan, L
AU  - Dynan L
AD  - Hospital Research and Educational Trust, USA. gbazzol1@aha.org
FAU - Bazzoli, G J
AU  - Bazzoli GJ
FAU - Burns, R
AU  - Burns R
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Healthc Manag
JT  - Journal of healthcare management / American College of Healthcare Executives
JID - 9803529
MH  - American Hospital Association
MH  - Data Collection
MH  - Delivery of Health Care, Integrated/*organization & administration/statistics & 
      numerical data
MH  - Factor Analysis, Statistical
MH  - Group Practice/classification/organization & administration/statistics & 
      numerical data
MH  - Health Services Research
MH  - Hospital-Physician Joint Ventures/classification/*organization & 
      administration/statistics & numerical data
MH  - Independent Practice Associations/classification/organization & 
      administration/statistics & numerical data
MH  - *Models, Organizational
MH  - Ownership
MH  - *Systems Integration
MH  - United States
EDAT- 1998/04/07 00:00
MHDA- 1998/04/07 00:01
CRDT- 1998/04/07 00:00
PHST- 1998/04/07 00:00 [pubmed]
PHST- 1998/04/07 00:01 [medline]
PHST- 1998/04/07 00:00 [entrez]
PST - ppublish
SO  - J Healthc Manag. 1998 May-Jun;43(3):242-61; discussion 261-2.