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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 1 of 1 Research Studies DisplayedPoon BY, Shortell S, Rodriguez HP
Physician practice transitions to system ownership do not result in diminished practice responsiveness to patients.
The purpose of this study was to examine the extent to which physician-to-system ownership transitions were associated with declines in practice-reported patient responsiveness (PRPR). Data were collected from three nationally representative surveys of physician organizations - the National Survey of Large Physician Organizations/National Survey of Small- and Medium-Sized Physician Organizations and the National Survey of All-Size Physician Organizations - consisting of 40-minute interviews with medical directors, presidents, or chief executive officers. Multivariable regression estimated the effect of ownership on changes in PRPR, controlled for practice size, specialty composition, and market characteristics. The study results showed that practices that switched to system ownership did not have significantly lower PRPR at baseline, when compared to practices that were continuously physician-owned, but continuously system-owned practices did. Transitions to system ownership were associated with increased PRPR when compared to continuously physician ownership. Increased practice size and changes in specialty composition were associated with diminished PRPR.
AHRQ-funded; HS024075.
Citation: Poon BY, Shortell S, Rodriguez HP .
Physician practice transitions to system ownership do not result in diminished practice responsiveness to patients.
Health Serv Res 2018 Aug;53(4):2268-84. doi: 10.1111/1475-6773.12804.
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Keywords: Healthcare Delivery, Health Systems, Patient Experience