Effects of competition, regulation, and corporatization on hospital-physician relationships.
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Recent changes in the hospital operating environment and physician-supply patterns have begun to erode the historical separation between hospital management-governance and physicians. We examine alternative mechanisms whereby physicians are integrated into the hospital's management-policy-making structure and test a number of hypotheses related to the conditions under which various forms of integration occur. Because regulatory intensity, physician competition, and hospital corporatization enhance managerial power vis-a-vis physicians so that there is greater balance, they are hypothesized to result in more integrated hospital-physician relationships. Results of multivariate analyses of a sample of 1,981 general, short-term hospitals provide general support for our hypotheses regarding the effects of regulation and physician competition; however, the degree and type of hospital-physician integration are shown to vary by the ownership of the corporate organization with which the hospital is affiliated.
author list (cited authors)
Alexander, J. A., Morrisey, M. A., & Shortell, S. M
complete list of authors
Alexander, JA||Morrisey, MA||Shortell, SM