The Contribution of Physician-System Integrating Structure to Select Health System Outcomes. Issue 3 (July 2020)

• Record Type: Journal Article
• Authors: Nguyen, Ann M.; Johnson, Christopher E.; Wood, Suzanne J.; Dowling, William L.
• Is Part Of: Journal of ambulatory care management. Volume 43:Issue 3(2020)
• Publication Date: 2020-07
• Subjects: care coordination -- hospitals -- mixed methods -- physician-system integration; Ambulatory medical care -- Administration -- Periodicals; Ambulatory medical care -- United States -- Administration -- Periodicals; Community health services -- Administration -- Periodicals; Community health services -- United States -- Administration -- Periodicals; Health planning -- Periodicals; Health planning -- United States -- Periodicals; 362.12
• DOI: 10.1097/JAC.0000000000000331
• Languages: English
• ISSNs: 0148-9917

Abstract

Abstract : Physician groups are increasingly being vertically integrated with hospitals and health systems; yet, the evidence on the impact of physician-system integration on health system outcomes is mixed. The objective of this study was to examine the impact of increased physician-system integration on select health system outcomes. We used a mixed-methods approach: (1) a fixed-effects multivariate mediation analysis; and (2) a qualitative analysis of interviews with health executives (n = 25). Our findings showed that hospitals spent $633 375.22 to $827 110.24 for each "level" increase in integration. This relationship was attenuated, however, by the presence of care coordination mechanisms.