PMID: 9431332Feb 7, 1998Paper

Hospital-physician arrangements and hospital financial performance

Medical Care
T L MarkS Guterman

Abstract

The introduction of the Medicare Prospective Payment System and the more recent rise of managed care plans have greatly increased the importance of effective hospital financial management. Because physicians play a central role in directing hospital resource use, policies to influence physician behavior and to align physician and hospital interests more effectively are being advocated increasingly. This article evaluates the effect of nine strategies to facilitate physician involvement and integration into the hospital on hospital financial performance. Data came primarily from the Prospective Payment Assessment Commission's hospital-physician relations survey of 1,485 hospitals and the Medicare Cost Reports. Both ordinary least squares and first differencing models were used to evaluate the effect of physician integration on hospital financial performance. Hospitals with lower margins and higher costs were more likely to have implemented strategies to integrate physicians and to modify physician behavior than their counterparts. Analysis using first differencing models indicated that making department heads responsible for the profits and losses had a significant positive effect on margins, whereas including medical staff on t...Continue Reading

References

Jan 1, 1990·Health Care Management Review·H L SmithN F Piland
Jan 1, 1993·Health Care Management Review·L R Burns, D P Thorpe
Jun 7, 1992·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·L Lemieux-Charles, P Leatt

❮ Previous
Next ❯

Citations

Jul 21, 2001·Journal of Health Economics·C Preyra, G Pink
Mar 10, 2001·Health Care Management Review·L R BurnsD Hilberman
Jun 5, 2002·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Jeffrey StenslandIra Moscovice
Jun 14, 2002·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Ira Moscovice, Jeffrey Stensland
Feb 18, 2011·BMC Health Services Research·Jeroen TrybouLieven Annemans
Jan 30, 2004·Journal of General Internal Medicine·James D BrambleDennis Esterbrooks
Mar 23, 2004·Health Services Research·Kristin Madison
May 25, 2013·Health Services Research·Daifeng He, Jennifer M Mellor
Sep 11, 2004·Medical Care Research and Review : MCRR·Gloria J BazzoliClarence Yap
Apr 4, 2007·The Journal of the Royal Society for the Promotion of Health·Kristof EecklooArthur Vleugels
Nov 6, 1998·Health Care Management Review·L R BurnsV Johnson
Jul 10, 2019·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Soumya UpadhyayDean G Smith
Oct 24, 2002·Medical Care·Jeffrey Stensland, Thomas Stinson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.