基于市场的医生组织安排的探索性分析。

An exploratory analysis of market-based, physician-organization arrangements.

作者信息

Alexander J A, Burns L R, Zuckerman H S, Vaughn T, Andersen R M, Torrens P, Hilberman D

机构信息

University of Michigan, Department of Health Services Management and Policy, Ann Arbor 48109, USA.

出版信息

Hosp Health Serv Adm. 1996 Fall;41(3):311-29.

PMID:10159994

Abstract

The growth of physician-organization arrangements (e.g., PHOs, MSOs) by physician specialty groups and delivery organizations is widely acknowledged. Yet, little is known about these new organizational forms. This paper presents a descriptive analysis of physician-organization arrangements (POAs) using survey data obtained from 79 organizations. The analysis examines the extent to which healthcare delivery organizations are engaged in the development of POAs, the number of physicians involved in POAs, and the decision-making control and strategies associated with POAs. These attributes are examined for the sample as a whole and relative to the institutional and market conditions facing study participants. Results are discussed in terms of their implications for health services managers.

摘要

医师专业团体和医疗服务提供机构所推动的医师 - 组织安排（如医师合作组织、管理服务组织）的发展已得到广泛认可。然而，对于这些新的组织形式，人们所知甚少。本文利用从79个组织获取的调查数据，对医师 - 组织安排进行了描述性分析。该分析考察了医疗服务提供机构参与医师 - 组织安排发展的程度、参与医师 - 组织安排的医师数量，以及与医师 - 组织安排相关的决策控制和策略。针对整个样本以及相对于研究参与者所面临的机构和市场条件，对这些属性进行了考察。并就研究结果对卫生服务管理者的影响进行了讨论。