ArticleHealth services research2018
Physician Practice Transitions to System Ownership Do Not Result in Diminished Practice Responsiveness to Patients.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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.
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Who cites it
5 citing papers in PubMed.
- Health systems and telemedicine adoption for diabetes and hypertension care.The American journal of managed care · 2023Article
- Adoption of Patient-Reported Outcomes by Health Systems and Physician Practices in the USA.Journal of general internal medicine · 2022Article
- Association of Private Equity Acquisition of Physician Practices With Changes in Health Care Spending and Utilization.JAMA health forum · 2022Article
- Gastroenterology Practice Consolidation Between 2012 and 2020.Digestive diseases and sciences · 2022Article
- Primary Care Practice Characteristics Associated With Medical Assistant Staffing Ratios.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveTo examine the extent to which physician-to-system ownership transitions are associated with declines in practice-reported patient responsiveness (PRPR). DATA SOURCES: A longitudinal cohort of practices (n = 897) from the National Survey of Large Physician Organizations/National Survey of Small- and Medium-Sized Physician Organizations (2006/08) and the National Survey of All-Size Physician Organizations (2012/13). STUDY
designMultivariable regression estimated the effect of ownership on changes in PRPR, controlling for practice size, specialty composition, other practice, and market characteristics. DATA COLLECTION/EXTRACTION
methodsData were collected from three nationally representative surveys of physician organizations consisting of 40-minute interviews with the medical director, president, or chief executive officer. PRINCIPAL
findingsNine percent of organizations transitioned to system ownership. Compared to practices that were continuously physician-owned, practices that switched to system ownership did not have significantly lower PRPR at baseline but continuously system-owned practices did. Transitions to system ownership were associated with increased PRPR compared to continuously physician ownership. Increased practice size and changes in specialty composition, however, were associated with diminished PRPR.
conclusionsPractices can maintain or improve strategies to address patient concerns when transferring ownership to systems with careful attention to the impact of increased size and changes in specialty composition.
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Registered trials
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