Just how integrated are integrated delivery systems? Results from a national survey.
This article examines three emergent processes in physician-hospital integrated delivery systems (IDSs). We find these processes are underdeveloped based on data gathered from a national sample of hospitals drawn from nine health care systems. These processes are also loosely coupled with the structures used to integrate physicians and hospitals, as well as with the environmental context in which they occur. Such loose coupling entails both advantages and disadvantages for IDSs.
Department of Health Care Systems, Wharton School, Philadelphia, Pennsylvania, USA.
L R
LR
Burns
S L
SL
Walston
J A
JA
Alexander
H S
HS
Zuckerman
R M
RM
Andersen
P R
PR
Torrens
D
D
Hilberman
D000704:Analysis of Variance; D016542:Chief Executive Officers, Hospital; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D019538:Health Care Surveys; D006801:Humans; D007857:Leadership; D008389:Marketing of Health Services; D017146:Models, Organizational; D010043:Outcome and Process Assessment, Health Care; D010816:Physician Incentive Plans / Q000458:organization & administration; D012456:Salaries and Fringe Benefits; D011795:Surveys and Questionnaires; D014481:United States