Physician involvement in management and governance: The moderating effects of staff structure and composition

Health Care Management Review

Volumn 24, Issue 1, 1999, Pages 33-44

  Succi, Melissa J ^a   Alexander, Jeffrey A ^b  

^a UNIVERSITY OF CONNECTICUT   (United States)

^b UNIVERSITY OF MICHIGAN   (United States)

Author keywords

Hospital efficiency; Hospital physician integration; Medical staff structure and composition

Indexed keywords

HEALTH CARE MANAGEMENT; HOSPITAL MANAGEMENT; MEDICAL SPECIALIST; MEDICAL STAFF; PHYSICIAN; PRIMARY MEDICAL CARE; REVIEW;

EID: 0033018678     PISSN: 03616274     EISSN: None     Source Type: Journal    
DOI: 10.1097/00004010-199901000-00004     Document Type: Review

References (33)

1. Goes, J.B., and Zhan, C. "The Effects of Hospital-Physician Integration Strategies on Hospital Financial Performance." Health Services Research 30 (1995): 507-30.
2. Davidson, S.M., McCollom, M., and Heineke, J. The Physician Manager Alliance: Building the Health Care Organization. San Francisco, CA: Jossey-Bass, 1996.
3. Glandon, G.L., and Morrisey, M.A. "Redefining the Hospital and Physician Relationship under Prospective Payment." Inquiry 23 (1986): 166-75.
4. Smith, H., Reid, R., and Piland, N.F. "Managing Hospital-Physician Relations: A Strategy Scorecard." Health Care Management Review 15, no. 4 (1990): 23-33.
5. Molinari, C., Alexander, J.A., Morlock, L., and Alan, L.C. "Does the Hospital Board Need a Doctor? The Influence of Physician Board Participation on Hospital Financial Performance." Medical Care 33 (1995): 170-82.
6. Alexander, J.A., and Morrisey, M.A. "Hospital Physician Integration and Hospital Costs." Inquiry 3 (1988): 388-401.
7. Schneller, E.S., Greenwald, H.P., Richardson, M.L., and Ott, J. "The Physician Executive: Role in the Adaptation of American Medicine." Health Care Management Review 22, no. 2 (1997): 90-96.
8. Alexander, J.A., Morlock, L., and Hunter, H. "Governing Board-CEO-Medical Staff Relations in Multi-Institutional Arrangements." Medical Care 23 (1985): 1193-1213.
9. Shortell, S.M. Effective Hospital-Physician Relationships. Ann Arbor, MI: Health Administration Press Perspective, 1991.
10. Dunham, N.C., Kindig, D.A., and Schulz, R. "The Value of the Physician Executive Role to Organizational Effectiveness and Performance." Health Care Management Review 19, no. 4 (1994): 56-63.
11. White, C.H. The Hospital Medical Staff. Albany, NY: Delmar Publishing, 1997.
12. LeTourneau, B., and Curry, W. "Physicians as Executives: Boon or Boondoggle?" Frontiers of Health Services Management 13, no. 3 (1997): 3-25.
13. Betson, C., and Pedroja, A.T. "Physician Managers: A Description of Their Job in Hospitals." Hospitals and Health Services Administration 34 (1989): 353-67.
14. Lagoe, R.J., and Aspling, D.L. "Enlisting Physician Support for Practice Guidelines in Hospitals." Health Care Management Review 21, no. 4 (1996): 61-67.
15. Bauer, J. "Should Integrated Networks Employ Physicians." Hospital and Health Networks 5 (November 1994): 6.
16. Alexander, J.A., Halpern, M.T., and Lee, S.Y.D. "The Short-Term Effects of Merger on Hospital Operations." Health Services Review 30 (1996): 827-47.
17. Morrisey, M., Alexander, J.A., and Ohsfelt, R.L. "Physician Integration Strategies and Hospital Output: A Comparison of Rural and Urban Institutions." Medical Care 28 (1990): 586-603.
18. Morrisey, M.A., Alexander, J.A., Burns, L.R., and Johnson, V. "Effects of Managed Care on Physician and Clinical Integration in Hospitals." Medical Care (forthcoming in 1998).
19. Alexander, J.A., Morrisey, M.A., Burns, L.R., and Johnson, V. "Physician and Clinical Integration in Rural Hospitals." Journal of Rural Health (in press).
20. Zelman, W. The Changing Health Care Marketplace: Private Ventures, Public Interests. San Francisco: Jossey-Bass, 1996.
21. Aiken, L.S., and West, S.G. Multiple Regression: Testing and Interpreting Interactions. Newbury Park: Sage Publications, 1991.
22. Alexander, J.A., Bloom, J.R., and Nuchols, B.A. "Nursing Turnover and Hospital Efficiency: An Organizational-Level Analysis." Industrial Relations 33 (1994): 505-20.
23. Hadley, J. "Teaching and Hospital Costs." Journal of Health Economics 2, no. 1 (1983): 75-79.
24. Robinson, J.C., and Luft, H.S. "Competition, Regulation, and Hospital Costs, 1982 to 1986." Journal of American Medical Association 260 (1988): 2676-81.
25. Mason, C.H., and Perreault, W.D. "Collinearity, Power, and Interpretation of Multiple Regression Analysis." Journal of Marketing Research 28 (1991): 268-80.
26. Belsley, D.A., Kuh, E., and Welsh, R.E. Regression Diagnostics: Identifying Data and Sources of Collinearity. New York: Wiley, 1980.
27. Kennedy, P. A Guide to Econometrics. Cambridge, MA: MIT Press, 1979.
28. Hadley, J., and Swartz, K. "The Impacts on Hospital Costs Between 1980 and 1984 of Hospital Rate Reguation, Competition, and Changes in Health Insurance Coverage." Inquiry 26 (Spring 1989): 35-47.
29. O'Connor, S.J., and Shewchuk, R.M. "Enhancing Administrator-Clinician Relationships: The Role of Psychological." Health Care Management Review 18, no. 2 (1993).
30. Burns, L.R., Anderson, R.M., and Shortell, S.M. "The Effects of Hospital Control Strategies on Physician Satisfaction and Physician-Hospital Conflict." Health Services Research 25 (1990): 527-60.
31. Anders, G. "Hospitals That Gobbled Up Physician Practices Feel Ill: High Costs and a Decline in Productivity Among Doctors Brings Losses." Wall Street Journal (June 15, 1997): B4.
32. Goldsmith, J. "Hospital/Physician Relationships: A Constraint to Health Reform." Health Affairs 1 (Fall 1993): 160-69.
33. Parr, J. "How to Buy a Medical Practice Without Losing Your Shirt." Hospitals and Health Networks (May 5, 1997): 30-34.