ArticleBMC health services research2011
The ties that bind: an integrative framework of physician-hospital alignment.
Article in BMC health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- A more complete measure of vertical integration between physicians and hospitals.Health services research · 2024Article
- Alignment in the Hospital-Physician Relationship: A Qualitative Multiple Case Study of Medical Specialist Enterprises in the Netherlands.International journal of health policy and management · 2023Article
- Can vertically integrated health systems provide greater value: The case of hospitals under the comprehensive care for joint replacement model?Health services research · 2020Article
- Varying viewpoints of Belgian stakeholders on models of interhospital collaboration.BMC health services research · 2018Article
- Fulfillment of administrative and professional obligations of hospitals and mission motivation of physicians.BMC health services research · 2017Article
- Medicine and management: looking inside the box of changing hospital governance.BMC health services research · 2016Article
- Changes in Quality of Health Care Delivery after Vertical Integration.Health services research · 2015Article
- The impact of professional and organizational identification on the relationship between hospital-physician exchange and customer-oriented behaviour of physicians.Human resources for health · 2015Article
- Hospital-physician relations: the relative importance of economic, relational and professional attributes to organizational attractiveness.BMC health services research · 2014Article
- Factors driving physician-hospital alignment in orthopaedic surgery.Clinical orthopaedics and related research · 2013Review
- Evolution of physician-hospital alignment models: a case study of comanagement.Clinical orthopaedics and related research · 2013Article
- The Perioperative Surgical Home: how can it make the case so everyone wins?BMC anesthesiology · 2013Article
- Provider accountability as a driving force towards physician-hospital integration: a systematic review.International journal of integrated careArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlignment between physicians and hospitals is of major importance to the health care sector. Two distinct approaches to align the medical staff with the hospital have characterized previous research. The first approach, economic integration, is rooted in the economic literature, in which alignment is realized by financial means. The second approach, noneconomic integration, represents a sociological perspective emphasizing the cooperative nature of their relationship. DISCUSSION: Empirical studies and management theory (agency theory and social exchange theory) are used to increase holistic understanding of physician hospital alignment. On the one hand, noneconomic integration is identified as a means to realize a cooperative relationship. On the other hand, economic integration is studied as a way to align financial incentives. The framework is developed around two key antecedent factors which play an important role in aligning the medical staff. First, provider financial risk bearing is identified as a driving force towards closer integration. Second, organizational trust is believed to be important in explaining the causal relation between noneconomic and economic integration. SUMMARY: Hospital financial risk bearing creates a greater need for closer cooperation with the medical staff and alignment of financial incentives. Noneconomic integration lies at the very basis of alignment. It contributes directly to alignment through the norm of reciprocity and indirectly by building trust with the medical staff, laying the foundation for alignment of financial incentives.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.