Tracking The Changing Provider Landscape: Implications For Health Policy And Practice

Throughout the 1990s health care providers were interested in developing organized delivery systems. However, industry observers have increasingly questioned the sense of these efforts. Using an established taxonomy of health networks and systems, we examined whether there was a nationwide trend awa...

Full description

Saved in:
Bibliographic Details
Published inHealth Affairs Vol. 20; no. 6; pp. 188 - 196
Main Authors Bazzoli, Gloria J, Shortell, Stephen M, Ciliberto, Federico, Kralovec, Peter D, Dubbs, Nicole L
Format Journal Article
LanguageEnglish
Published United States Health Affairs 01.11.2001
The People to People Health Foundation, Inc., Project HOPE
Subjects
Centralization
Delivery of Health Care - organization & administration
Delivery of Health Care - trends
Health care
Health care delivery
Health care networks
Health care policy
Health Care Reform
Health Care Sector
Health Policy
Health services
Health Services Research
Independent practice associations
Integrated delivery systems
Longitudinal studies
Organizational change
Organizational Innovation
Physicians
Product development
Statistical analysis
Studies
Taxonomy
Trends
United States
United States
United States > US
Online AccessGet full text

Cover

More Information
Summary:Throughout the 1990s health care providers were interested in developing organized delivery systems. However, industry observers have increasingly questioned the sense of these efforts. Using an established taxonomy of health networks and systems, we examined whether there was a nationwide trend away from the vertical and horizontal arrangements that serve as the backbone to organized delivery systems. Studying 1994-1998, we found that both health networks and systems became less centralized in their hospital services, physician arrangements, and insurance product development. We did not find a general pathway to disintegration but instead found considerable experimentation in organizational form.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.20.6.188