Physician involvement in management and governance: the moderating effects of staff structure and composition

Article Abstract:

The impact of physician involvement in hospital management and governance is investigated. Results show that physician involvement generally reduced hospital efficiency. One possible explanation for this is the worsening of conflicts between hospitals and physicians with the latter's involvement in management. However, the positive effects of physician involvement on hospital efficiency is most evident in hospitals with a large medical staff made up of fewer salaried primary care physicians.

Research, Participatory management

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Leaps of faith

Article Abstract:

The Eugene (Oregon) Clinic, an independent group practice, was dissolved in 1995 and the 55 physicians joined the Catholic Church-affiliated healthcare system PeaceHealth. Inside PeaceHealth, the physicians were organized as the PeaceHealth Medical Group, on whose board they have a majority, thus retaining their decision making power and autonomy. PeaceHealth Medical Group now is developing a capitation model so it can offer healthcare services to purchasers at a set rate.

PeaceHealth, PeaceHealth Medical Group

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Putting managed care in its place: in managed care markets, deals between hospitals and doctors take some unexpected forms

Article Abstract:

A 1996 survey performed by the American Hospital Association revealed that hospital-physician relationships under managed care are not developing as expected in two categories. Hospitals are still partnering primarily with independent practice associations rather than salaried group practices. Hospitals also are continuing to buy practices despite the expenses involved. Statistics differ slightly depending on how much managed care systems have infiltrated the market.

Health Care and Social Assistance, HEALTH SERVICES, Personal Health Care, Analysis, Health care industry, Statistics, Managed care plans (Medical care), Health services administration, Self care (Health), Hospital-physician joint ventures

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