Journal article
The Effects of Structure, Strategy and Market Conditions on the Operating Practices of Physician-Organization Arrangements
Health services management research : an official journal of the Association of University Programs in Health Administration, Vol.13(4), pp.231-243
11/2000
DOI: 10.1177/095148480001300404
PMID: 11142070
Abstract
Research to date has documented weak or inconsistent associations between market and organizational factors and the adoption of physician-organization arrangements (POAs) (e.g. physician-hospital organizations, management service organizations and independent practice associations) designed to increase physician integration. We argue that POAs may mask considerable variation in how these entities are operated and governed. Further, because the operating policies and practices of POAs are likely to influence more directly the behaviour of physicians than the structural form of the POA, they may be more sensitive to the market and organizational contingencies that encourage integration. This study attempts to test empirically the relative effects of POA type and market, strategic and organization factors on the operating policies and practices of market-based POAs. Results suggest that type of POA, and market, strategic and organizational factors affect risk sharing, physician selection practices, physician monitoring practices and ways in which monitoring information is used to influence physician behaviour in POAs.
Details
- Title: Subtitle
- The Effects of Structure, Strategy and Market Conditions on the Operating Practices of Physician-Organization Arrangements
- Creators
- J. A Alexander - School of Public Health, University of Michigan, USAT. E Vaughn - Department of Preventive Medicine and Environmental Health, University of Iowa, USAL. R Burns - The Wharton School, University of Pennsylvania, USA
- Resource Type
- Journal article
- Publication Details
- Health services management research : an official journal of the Association of University Programs in Health Administration, Vol.13(4), pp.231-243
- DOI
- 10.1177/095148480001300404
- PMID
- 11142070
- ISSN
- 0951-4848
- eISSN
- 1758-1044
- Language
- English
- Date published
- 11/2000
- Academic Unit
- Health Management and Policy; Nursing
- Record Identifier
- 9984214950902771
Metrics
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