Morrisey M A, Alexander J, Burns L R, Johnson V
Lister Hill Center for Health Policy, University of Alabama at Birmingham, USA.
Health Aff (Millwood). 1996 Winter;15(4):62-73. doi: 10.1377/hlthaff.15.4.62.
This paper examines the extent to which hospitals and physicians use new organizational structures designed to facilitate contracting with managed care firms and the extent to which this use is associated with managed care revenue. The data come from a nationally representative sample of 1,495 U.S. community hospitals responding to a 1993 survey about different organizational structures. The results indicate that only 23.3 percent of hospitals participate in at least one form. Hospitals with more than 15 percent of revenues from managed care are twice as likely to participate and favor forms that provide tighter linkages with physicians.
本文考察了医院和医生在多大程度上采用旨在促进与管理式医疗公司签约的新组织结构，以及这种采用与管理式医疗收入的关联程度。数据来自对1495家美国社区医院的全国代表性样本，这些医院回应了1993年一项关于不同组织结构的调查。结果表明，只有23.3%的医院至少参与一种形式。来自管理式医疗收入超过15%的医院参与的可能性是其他医院的两倍，并且倾向于采用与医生联系更紧密的形式。
