Burns Lawton R, Gimm Gilbert, Nicholson Sean
Department of Helath Care Systems, University of Pennsylvania, Philadelphia, USA.
J Healthc Manag. 2005 May-Jun;50(3):191-211; discussion 211-2.
This study examines the impact of integration strategies on the financial performance of hospitals, physicians, and health plans over time. Results from a study of 36 large integrated health organizations (IHOs) suggest that financial performance is adversely affected by the scale of investment in integration but not necessarily by the timing or sequencing of the investments made. The results also suggest that some integration strategies have more detrimental effects on financial performance than do others. Finally, the results show that centralized integrative structures appear more financially successful than are less centralized structures.
本研究考察了整合策略随时间推移对医院、医生和医疗计划财务绩效的影响。一项对36家大型综合医疗组织（IHO）的研究结果表明，财务绩效受到整合投资规模的不利影响，但不一定受到投资时机或投资顺序的影响。结果还表明，一些整合策略对财务绩效的负面影响比其他策略更大。最后，结果显示，集中式整合结构在财务上似乎比不太集中的结构更成功。
