Strategic integration of hospitals and physicians

Alison Evans Cuellar; Paul J. Gertler

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Strategic integration of hospitals and physicians

机译：医院和医师的战略整合

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A striking development in the healthcare market place has been the formation of strategic relationships between hospitals and physicians. Hospital-physician integration appears to be a response to rapidly expanding managed care health insurance. We examine whether integration lead to efficiency gains from transaction cost economies thereby allowing providers to offer managed care insurance plans lower prices or whether integration is really a strategy to improve bargaining power and thereby increase prices. We find that integration has little effect on efficiency, but is associated with an increase in prices, especially when the integrated organization is exclusive and occurs in less competitive markets.

机译：保健市场的显着发展是医院与医师之间建立战略关系。医院与医生的整合似乎是对快速扩展的托管医疗保险的一种回应。我们研究了整合是否可以从交易成本节约中提高效率，从而使提供者能够以更低的价格提供管理式医疗保险计划，或者整合是否确实是一种提高议价能力从而提高价格的战略。我们发现整合对效率几乎没有影响，但与价格上涨相关，尤其是当整合组织是排他性的并且出现在竞争较弱的市场中时。

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来源
《Journal of health economics》 |2006年第1期|p.1-28|共28页
作者
Alison Evans Cuellar; Paul J. Gertler;
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作者单位

Jospeh P. Mailman School of Public Health, Columbia University, 600 W. 168th Street, 6th Floor, New York, NY 10032, USA;

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原文格式 PDF
正文语种 eng
中图分类 f;
关键词
vertical integration; market power; transaction cost economics; hospitals; physicians;

机译：纵向整合;市场力量;交易成本经济学;医院;医师;

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1. THE INFANTILE CEREBRAL PALSIES. By Eirene Collis, Assistant to the Director of the Cerebral Palsy Unit, Queen Mary's Hospital for Children, Carshalton; W.R.F. Collis, Director of Paediatrics, Rotunda Hospital; Physician, National Children's Hospital, Dublin; William Dunham, Physician to the Department of Physical Medicine, Charing Cross Hospital; L. T. Hilliard, Consultant Psychiatrist and Physician Superintendent, Fountain Hospital for Mentally Defective Children, London; and David Lawson, Physician Superintendent and Consultant Paediatrician, Director of Cerebral Palsy Unit, Queen Mary's Hospital for Children, Carshalton. Foreword by Sir Francis Walshe, Consulting Physician, University College Hospital and National Hospital for Nervous Diseases, Queen Square. 8?x5? in. Pp. xi+100, with 2 tables. Index. 1956. London: William Heinemann Medical Books Ltd. Price l5s [J] . Norman Capener The Journal of Bone and Joint Surgery. British VolumecBritish Orthopaedic Association , Australian Orthopaedic Association , Canadian Orthopaedic Association . . . [et al] . 1958,第2期

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2. The Effect of Hospital-Physician Integration on Operational Performance: Evaluating Physician Employment for Cardiovascular Services [J] . E. David Zepeda, Gilbert N. Nyaga, Gary J. Young Decision Line . 2020,第2期

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3. The impact of physician-hospital integration on hospital supply management [J] . Abdulsalam Yousef, Gopalakrishnan Mohan, Maltz Arnold, Journal of operations management . 2018,第JANa期

机译：医医院一体化对医院供应管理的影响
4. An interactive strategic information management plan to integrate strategic and tactical information management in hospitals [C] . Mueller U., Issler L., Funkat G., Software Engineering in Health Care, 2009. SEHC '09 . 2009

机译：整合医院战略与战术信息管理的交互式战略信息管理计划
5. The effects of physician -hospital organization on the financial performance of system hospitals: An empirical investigation of vertical integration strategies. [D] . Silkoff, Richard Philip. 2002

机译：医师医院组织对系统医院财务绩效的影响：纵向整合策略的实证研究。
6. Physician participation in hospital strategic decision making: the effect of hospital strategy and decision content. [O] . D P Ashmos, R R McDaniel Jr 1991

机译：医生参与医院战略决策：医院战略的效果和决策内容。
7. Strategic integration of hospitals and physicians [O] . Alison Evans Cuellar, Paul J. Gertler 2008

机译：医院和医师的战略整合
8. Managed Care and Hospital-Physician Integration. Executive Summary. FinalNarrative Progress Report [R] . Morrisey, M. A., Alexander, J. A., Burns, L. R., 1997

机译：管理式医疗和医院 - 医师整合。执行摘要。 FinalNarrative进展报告

Strategic integration of hospitals and physicians

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