Evidence map›Paper›PMID 24628449›Full record

ArticleHealth services research2014

Physician practice participation in accountable care organizations: the emergence of the unicorn.

Stephen M Shortell, Sean R McClellan, Patricia P Ramsay, Lawrence P Casalino, Andrew M Ryan, Kennon R Copeland

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
45.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 74 citations in OpenAlex.

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  16. A structuration framework for bridging the macro-micro divide in health-care governance.Health expectations : an international journal of public participation in health care and health policy · 2016
    Review
  17. Article
  18. Review
  19. Observational
  20. Accountable Care Organizations: The National Landscape.Journal of health politics, policy and law · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Stephen M ShortellSchool of Public Health, University of California, Berkeley, 50 University Hall, MC 7360, Berkeley, CA 94720.
Sean R McClellan
Patricia P Ramsay
Lawrence P Casalino
Andrew M Ryan
Kennon R Copeland
Cornell University · USUniversity of California, Berkeley · USNational Opinion Research Center · USPalo Alto Institute · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

objectiveTo provide the first nationally based information on physician practice involvement in ACOs. DATA SOURCES/STUDY

settingPrimary data from the third National Survey of Physician Organizations (January 2012-May 2013). STUDY

designWe conducted a 40-minute phone survey in a sample of physician practices. A nationally representative sample of practices was surveyed in order to provide estimates of organizational characteristics, care management processes, ACO participation, and related variables for four major chronic illnesses. DATA COLLECTION/EXTRACTION

methodsWe evaluated the associations between ACO participation, organizational characteristics, and a 25-point index of patient-centered medical home processes. PRINCIPAL

findingsWe found that 23.7 percent of physician practices (n = 280) reported joining an ACO; 15.7 percent (n = 186) were planning to become involved within the next 12 months and 60.6 percent (n = 717) reported no involvement and no plans to become involved. Larger practices, those receiving patients from an IPA and/or PHO, those that were physician-owned versus hospital/health system-owned, those located in New England, and those with greater patient-centered medical home (PCMH) care management processes were more likely to have joined an ACO.

conclusionsPhysician practices that are currently participating in ACOs appear to be relatively large, or to be members of an IPA or PHO, are less likely to be hospital-owned and are more likely to use more care management processes than nonparticipating practices.

Indexed as

Physician's RoleAccountable Care OrganizationsAsthmaCoronary DiseaseDelivery of Health CareDepressionDiabetes MellitusFemaleHumansMaleMiddle AgedPatient-Centered CarePatient Protection and Affordable Care ActPractice Patterns, Physicians'United StatesAccountable care organizationsAffordable Care Actcare managementphysician practices

Identifiers

PMID24628449
PMCPMC4213047
OpenAlexW2141951236

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.