| LDR | | 02873nmm uu200457 4500 |
| 001 | | 000000334021 |
| 005 | | 20240805175000 |
| 008 | | 181129s2018 |||||||||||||||||c||eng d |
| 020 | |
▼a 9780438175709 |
| 035 | |
▼a (MiAaPQ)AAI10827525 |
| 035 | |
▼a (MiAaPQ)washington:18675 |
| 040 | |
▼a MiAaPQ
▼c MiAaPQ
▼d 248032 |
| 082 | 0 |
▼a 362.1 |
| 100 | 1 |
▼a Nguyen, Ann Mai. |
| 245 | 10 |
▼a Organizational Factors Affecting the Successful Integration between Physician Groups and Health Systems. |
| 260 | |
▼a [S.l.] :
▼b University of Washington.,
▼c 2018 |
| 260 | 1 |
▼a Ann Arbor :
▼b ProQuest Dissertations & Theses,
▼c 2018 |
| 300 | |
▼a 168 p. |
| 500 | |
▼a Source: Dissertation Abstracts International, Volume: 79-12(E), Section: B. |
| 500 | |
▼a Adviser: Christopher E. Johnson. |
| 502 | 1 |
▼a Thesis (Ph.D.)--University of Washington, 2018. |
| 520 | |
▼a Amidst growing vertical integration, health care delivery is moving toward a state in which the lines of responsibility begin to blur. As health reform shifts the health care industry from volume to value, the market is calling for increased car |
| 520 | |
▼a This dissertation focused on the organizational factors affecting the success of integration between physician groups and health systems. The objectives of were two-fold: 1) to define what success means to different health systems, and 2) to ans |
| 520 | |
▼a In Aim 1, we identified 29 empirical articles published in 2005--2016 that examined physician-system integration. Only 38% of the articles used organizational theory to guide their approach, which suggests an imbalance in past analyses and an un |
| 520 | |
▼a In Aim 2, we interviewed 25 health executives across eight health systems in Washington State. Factors that made physician-system integration successful included: payment reform (how to compensate for care coordination activities), alignment bet |
| 520 | |
▼a In Aim 3, we found that tighter integration structures were associated with higher total facility expenses, with hospitals spending $675,000 to $833,000 for each "level" increase in integration. The trend was consistent with previo |
| 520 | |
▼a Through the three Aims, we put forth a theory-driven, practice-validated, and empirically-tested conceptual model---a tool for health executives, researchers, and instructors to more effectively address the complexities of integration. Our work |
| 590 | |
▼a School code: 0250. |
| 650 | 4 |
▼a Health care management. |
| 650 | 4 |
▼a Public health. |
| 690 | |
▼a 0769 |
| 690 | |
▼a 0573 |
| 710 | 20 |
▼a University of Washington.
▼b Health Services. |
| 773 | 0 |
▼t Dissertation Abstracts International
▼g 79-12B(E). |
| 773 | |
▼t Dissertation Abstract International |
| 790 | |
▼a 0250 |
| 791 | |
▼a Ph.D. |
| 792 | |
▼a 2018 |
| 793 | |
▼a English |
| 856 | 40 |
▼u http://www.riss.kr/pdu/ddodLink.do?id=T14999040
▼n KERIS |
| 980 | |
▼a 201812
▼f 2019 |
| 990 | |
▼a 관리자 |