title: Physician equity in health care delivery systems: three alternative models.
abstract: The 1990s have seen many health care organizations attempting to merge, acquire, or affiliate with physician groups. Many have failed to provide physicians a stake in the success of the newly formed enterprise, frequently resulting in declining physician productivity, poor morale, and large operating losses. These problems warrant a reexamination of the traditional acquisition model of growth in favor of structures that retain a physician ownership component. This article examines three models of health care organization in which physicians share in the success of the enterprise and compares them in terms of ownership structure, governance, and funds flow.
authors.affiliation: ECG Management Consultants, Inc., Seattle, WA, USA.
authors.forename: K M
authors.initials: KM
authors.lastname: Kennedy
authors.forename: D A
authors.initials: DA
authors.lastname: Wofford
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000458:organization & administration*; D005069:Evaluation Studies as Topic; D006075:Governing Board; D019981:Health Care Sector; D006759:Hospital-Physician Joint Ventures / Q000191:economics / Q000458:organization & administration; D006801:Humans; D015271:Insurance Pools; D017146:Models, Organizational; D010067:Ownership; D011216:Practice Management, Medical / Q000191:economics / Q000458:organization & administration*; D011362:Professional Corporations / Q000191:economics / Q000458:organization & administration; D014481:United States