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Physician and Clinical Integration Among Rural Hospitals

dc.contributor.authorAlexander, Jeffrey A.en_US
dc.contributor.authorMorrisey, Michael A.en_US
dc.contributor.authorBurns, Lawton R.en_US
dc.contributor.authorJohnson, Victoriaen_US
dc.date.accessioned2010-06-01T18:52:52Z
dc.date.available2010-06-01T18:52:52Z
dc.date.issued1998-09en_US
dc.identifier.citationAlexander, Jeffrey A.; Morrisey, Michael A.; Burns, Lawton R.; Johnson, Victoria (1998). "Physician and Clinical Integration Among Rural Hospitals." The Journal of Rural Health 14(4): 312-326. <http://hdl.handle.net/2027.42/72074>en_US
dc.identifier.issn0890-765Xen_US
dc.identifier.issn1748-0361en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/72074
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=10349281&dopt=citationen_US
dc.description.abstractThe pressures for closer alignment between physicians and hospitals in both rural and urban areas are increasing. This study empirically specifies independent dimensions of physician and clinical integration and compares the extent to which such activities are practiced between rural and urban hospitals and among rural hospitals in different organizational and market contexts. Results suggest that both rural and urban hospitals practice physician integration, although each emphasizes different types of strategies. Second, urban hospitals engage in clinical integration with greater frequency than their rural counterparts. Finally, physician integration approaches in rural hospitals are more common among larger rural hospitals, those proximate to urban facilities, those with system affiliations, and those not under public control.en_US
dc.format.extent1352268 bytes
dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Publishing Ltden_US
dc.rights1998 The National Rural Health Associationen_US
dc.titlePhysician and Clinical Integration Among Rural Hospitalsen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumUniversity of Michigan, Health Management and Policy, School of Public Health, 109 Observatory, Ann Arbor, Mich. 48709en_US
dc.identifier.pmid10349281en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/72074/1/j.1748-0361.1998.tb00637.x.pdf
dc.identifier.doi10.1111/j.1748-0361.1998.tb00637.xen_US
dc.identifier.sourceThe Journal of Rural Healthen_US
dc.identifier.citedreferenceAlexander, J., Bums, L., Zuckerman, H., Vaughn, T., Andersen, R., Torens, P., & Hilberman, D. ( 1996a ). An exploratory analysis of market-based, physician-organization arrangements. Hospital and Health Services Administration. 41 ( 3 ), 311 – 329.en_US
dc.identifier.citedreferenceAlexander, J., Morrisey, M., & Shortell, S. ( 1986 ). The effects of competition, regulation and corporatization on hospital-physician relationships. Journal of Health and Social Behavior, 27 ( 3 ), 220 – 235.en_US
dc.identifier.citedreferenceAlexander, J., Vaughn, T., Zuckerman, H., Bums, L., Andersen, R., Torrens, P., & Hilberman, D. ( 1996b ). Organizational approaches to integrated health care delivery: A taxonomic analysis of physician organization arrangements. Medical Care Research and Review, 53 ( 1 ), 70 – 93.en_US
dc.identifier.citedreferenceBoissoneau, R. ( 1987 ). The medical staff role: Management in rural hospitals. Hospital and Health Services Administration, 32 ( 2 ), 161 – 169.en_US
dc.identifier.citedreferenceBurns, L., Morrisey, M., Alexander, J., & Johnson, V. ( 1998, Fall ). Managed care and processes to integrate physicians/hospitals. Health Management Review, 23 ( 4 ), 70 – 80.en_US
dc.identifier.citedreferenceBurns, L., & Thorpe, D. ( 1997 ). Physician-hospital organizations: Strategy, structure and conduct. In R. Conners ( Ed. ), The organization and management of physician services: Evolving trends ( pp. 351 – 371 ). Chicago, IL: American Hospital Publishing.en_US
dc.identifier.citedreferenceCampion, DM, & Dickey, DF. ( 1995 ). Lessons from the essential access community hospital program for rural health network development. The Journal of Rural Health, 11 ( 1 ), 32 – 39.en_US
dc.identifier.citedreferenceCochran, WR. ( 1977 ). Sampling techniques. New York, NY Wiley and Sons.en_US
dc.identifier.citedreferenceCordes, SM. ( 1989 ). The changing rural environment and the relationship between health services and rural development. Health Services Research, 23 ( 6 ), 757 – 784.en_US
dc.identifier.citedreferenceCrandall, LA, Dwyer, JW, & Duncan, RP. ( 1990 ). Recruitment and retention of rural physicians: Issues for the 1990s. The Journal of Rural Health, 6 ( 1 ), 19 – 36.en_US
dc.identifier.citedreferenceEmmons, DW. ( 1988 ). Changing dimensions of medical practice arrangements. Medical Care Review, 45 ( 1 ), 101 – 128.en_US
dc.identifier.citedreferenceGillies, RR, Shortell, SM, Anderson, DA, Mitchell, JB, & Morgan, KL. ( 1993 ). Conceptualizing and measuring integration: Findings from the health systems integration study. Hospital & Health Services Administration, 38 ( 4 ), 467 – 489.en_US
dc.identifier.citedreferenceGlandon, GL, & Morrisey, MA. ( 1986 ). Redefining the hospital and physician relationship under prospective payment. Inquiry, 23 ( 2 ), 166 – 175.en_US
dc.identifier.citedreferenceGoes, J., & Zhan, C. ( 1995 ). The effects of hospital-physician integration strategies on hospital financial performance. Health Services Research, 33 ( 2 ), 507 – 530.en_US
dc.identifier.citedreferenceGrayson, MA, & McCormick, B. ( 1989 ). Outpatients: A source of M.D./hospital conflict. Medical Staff Leader, 18 ( 3 ), 1 – 8.en_US
dc.identifier.citedreferenceHart, LG, Amundson, BA, & Rosenblatt, RA. ( 1990 ). Is there a role for the small rural hospital. The Journal of Rural Health, 6 ( 2 ), 101 – 118.en_US
dc.identifier.citedreferenceMackesy, R. ( 1993 ). Physician satisfaction with rural hospitals. Hospital and Health Services Administration, 38 ( 3 ), 375 – 386.en_US
dc.identifier.citedreferenceMick, SS, & Morlock, L. ( 1990 ). America's rural hospitals: A selective review of the 1980s research. The Journal of Rural Health, 6 ( 4 ), 437 – 466.en_US
dc.identifier.citedreferenceMick, SS, Morlock, L., Salkever, D., de Lissovoy, G., Malitz, F., Wise, C., & Jones, AS. ( 1993 ). Horizontal and vertical integration—diversification in rural hospitals: A national study of strategic activity, 1983–1988. The Journal of Rural Health, 9 ( 2 ), 99 – 119.en_US
dc.identifier.citedreferenceMorrisey, M., Alexander, J., Burns, L., & Johnson, V. ( 1996 ). Managed care and physician hospital integration. Health Africa, 15 ( 4 ), 62 – 73.en_US
dc.identifier.citedreferenceMorrisey, M., Alexander, J., Burns, L., and Johnson, V. ( in press ). The effects of managed care on physician and clinical integration in hospitals. Medical Care.en_US
dc.identifier.citedreferenceMorrisey, M., Alexander, J., & Ohsfeldt, R. ( 1990 ). Physician integration strategies and hospital output: A comparison of rural and urban institutions. Medical Care, 28 ( 7 ), 586 – 600.en_US
dc.identifier.citedreferenceMoscovice, I., Christianson, J., Johnson, J., Kralewski, J., & Manning, W. ( 1997 ). Rural hospital networks. Ann Arbor, MI: Health Administration Press.en_US
dc.identifier.citedreferenceMoscovice, I., Johnson, J., Finch, M., Grogan, C., & Kralewski, J. ( 1991 ). The structure and characteristics of rural hospital consortia. The Journal of Rural Health, 7 ( 5 ), 575 – 588.en_US
dc.identifier.citedreferenceMoscovice, I., Christianson, J., & Wellever, A. ( 1995 ). Measuring and evaluating the performance of vertically integrated rural health networks. The Journal of Rural Health, 11 ( 1 ), 9 – 21.en_US
dc.identifier.citedreferenceMoscovice, I., & Rosenblatt, R. ( 1985 ). A prognosis for the rural hospital Part I: What is the role of the rural hospital. The Journal of Rural Health, 1 ( 1 ), 29 – 40.en_US
dc.identifier.citedreferenceMovassaghi, H., & Kindig, D. ( 1989 ). Medical practice and satisfaction of physicians in sparsely populated rural counties of the United States: Results of a 1988 survey. The Journal of Rural Health, 5 ( 2 ), 125 – 136.en_US
dc.identifier.citedreferenceRural Health Research Center. ( 1997 ). Rural health networks: Forms and functions. Minneapolis, MN: University of Minnesota School of Public Health.en_US
dc.identifier.citedreferenceSeavey, JH, Berry, DE, & Bogue, RJ. ( 1992 ). The strategies and environments of America's small rural hospitals. Chicago, IL: The Hospital Research and Educational Trust, American Hospital Association.en_US
dc.identifier.citedreferenceShortell, SM. ( 1991a ). Revisiting the garden: Medicine and management in the 1990s. Frontiers of Health Services Management, 7 ( 1 ), 3 – 32.en_US
dc.identifier.citedreferenceShortell, SM. ( 1991b ). Effective hospital-physician relationships. Ann Arbor, MI: Health Administration Press.en_US
dc.identifier.citedreferenceShortell, S., Gillies, RR, Anderson, DA, Morgan-Erickson, K., & Mitchell, J. ( 1996 ). Remaking healthcare in America: Building organized delivery systems. San Francisco, CA: Jossey-Bass.en_US
dc.identifier.citedreferenceSmith, HL, & Piland, NF. ( 1990 ). Strategic adaptation to PPS by rural hospitals: Implications for theory and practice. The Journal of Rural Health, 6 ( 2 ), 140 – 160.en_US
dc.identifier.citedreferenceSmith, HL, Piland, NF, & Funk, MJ. ( 1992 ). Strategic planning in rural health care organization. Health Care Management Review, 17 ( 3 ), 63 – 80.en_US
dc.identifier.citedreferenceSmith, HL, Reid, HA, & Piland, NF. ( 1990 ). Managing hospital-physician relations: A strategy scorecard. Health Care Management Review, 15 ( 4 ), 23 – 33.en_US
dc.identifier.citedreferenceWeiner, BJ, Shortell, SM, & Alexander, J. ( 1997 ). Promoting clinical involvement in hospital quality improvement efforts: The effects of top management, board, and physician leadership. Health Services Research, 32 ( 4 ), 491 – 510.en_US
dc.identifier.citedreferenceZismer, DK, & Hoffman, DC. ( 1995 ). A 10-point strategic checklist for rural health care systems. The Journal of Rural Health, 11 ( 1 ), 53 – 59.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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