Evidence map›Paper›PMID 30674227›Full record

ArticleMedical care research and review : MCRR2020

Landscape of Health Systems in the United States.

Michael F Furukawa, Rachel M Machta, Kirsten A Barrett, David J Jones, Stephen M Shortell, Dennis P Scanlon, Valerie A Lewis, A James O'Malley, Ellen R Meara, Eugene C Rich

Abstract read
In one paragraph

Article in Medical care research and review : MCRR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
–field-weighted citation impact
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

41 citing papers in PubMed.

  1. Community Characteristics Associated With Health System Penetration.Medical care research and review : MCRR · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Impact of Retroactive Application of Updated Surveillance Guidelines on Endoscopy Center Capacity at a Large VA Health Care System.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors.

Michael F FurukawaAgency for Healthcare Research and Quality, Rockville, MD, USA.ORCID 0000-0001-9593-169X
Rachel M MachtaMathematica Policy Research, Oakland, CA, USA.ORCID 0000-0002-9349-9511
Kirsten A BarrettMathematica Policy Research, Washington, DC, USA.
David J JonesMathematica Policy Research, Cambridge, MA, USA.
Stephen M ShortellUniversity of California, Berkeley, CA, USA.
Dennis P ScanlonThe Pennsylvania State University, University Park, PA, USA.
Valerie A LewisThe Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA.ORCID 0000-0003-1896-1240
A James O'MalleyThe Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA.
Ellen R MearaThe Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA.
Eugene C RichMathematica Policy Research, Washington, DC, USA.

Funding

PA-20-072: Accelerating the Use of Evidence-based Innovation in Healthcare SystemsU19HS024075 · AHRQ · DARTMOUTH COLLEGE · PI MEARA, ELLEN R. · 2015 to 2021
$19.8M
Understanding Health Care Delivery Systems PCOR Adoption and System PerformanceU19HS024067 · AHRQ · RAND CORPORATION · PI DAMBERG, CHERYL · 2015 to 2019
$17.4M
The Effects of Accountable Care Organizations on Health Care DisparitiesK01AG049914 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEWIS, VALERIE A · 2015 to 2019
$646k
AHRQ HHS U19 HS024067AHRQ HHS U19 HS024075Intramural AHRQ HHS HS999999NIA NIH HHS K01 AG049914
6 · The paper itself

Abstract

Despite the prevalence of vertical integration, data and research focused on identifying and describing health systems are sparse. Until recently, we lacked an enumeration of health systems and an understanding of how systems vary by key structural attributes. To fill this gap, the Agency for Healthcare Research and Quality developed the Compendium of U.S. Health Systems, a data resource to support research on comparative health system performance. In this article, we describe the methods used to create the Compendium and present a picture of vertical integration in the United States. We identified 626 health systems in 2016, which accounted for 70% of nonfederal general acute care hospitals. These systems varied by key structural attributes, including size, ownership, and geographic presence. The Compendium can be used to study the characteristics of the U.S. health care system and address policy issues related to provider organizations.

Indexed as

Delivery of Health Care, IntegratedHospitalsOrganizational AffiliationOwnershipHumansUnited Statesdelivery system organizationhealth systemshospital–physician affiliationsvertical integration

Identifiers

PMID30674227
PMCPMC7187756

What OpenQuestion holds

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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.