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Organizational Factors Affecting the Successful Integration between Physician Groups and Health Systems

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서명/저자사항Organizational Factors Affecting the Successful Integration between Physician Groups and Health Systems.
개인저자Nguyen, Ann Mai.
단체저자명University of Washington. Health Services.
발행사항[S.l.]: University of Washington., 2018.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2018.
형태사항168 p.
기본자료 저록Dissertation Abstracts International 79-12B(E).
Dissertation Abstract International
ISBN9780438175709
학위논문주기Thesis (Ph.D.)--University of Washington, 2018.
일반주기 Source: Dissertation Abstracts International, Volume: 79-12(E), Section: B.
Adviser: Christopher E. Johnson.
요약Amidst growing vertical integration, health care delivery is moving toward a state in which the lines of responsibility begin to blur. As health reform shifts the health care industry from volume to value, the market is calling for increased car
요약This dissertation focused on the organizational factors affecting the success of integration between physician groups and health systems. The objectives of were two-fold: 1) to define what success means to different health systems, and 2) to ans
요약In Aim 1, we identified 29 empirical articles published in 2005--2016 that examined physician-system integration. Only 38% of the articles used organizational theory to guide their approach, which suggests an imbalance in past analyses and an un
요약In Aim 2, we interviewed 25 health executives across eight health systems in Washington State. Factors that made physician-system integration successful included: payment reform (how to compensate for care coordination activities), alignment bet
요약In Aim 3, we found that tighter integration structures were associated with higher total facility expenses, with hospitals spending $675,000 to $833,000 for each "level" increase in integration. The trend was consistent with previo
요약Through the three Aims, we put forth a theory-driven, practice-validated, and empirically-tested conceptual model---a tool for health executives, researchers, and instructors to more effectively address the complexities of integration. Our work
일반주제명Health care management.
Public health.
언어영어
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