Association Between the Growth of Accountable Care Organizations and Physician Work Hours and Self-employment.

ABSTRACT:

Importance

The share of the population covered by accountable care organizations (ACOs) is growing, but the association between this increase and physician employment is unknown.

Objective

To investigate the association between the growth of ACOs and changes in physician work hours, probability of being self-employed, and probability of working in a hospital.

Design, setting, and participants

A fixed-effects design was used in this cross-sectional study to compare changes in physician employment in hospital referral regions with high vs low ACO growth. A nationally representative 1% sample of all working US physicians obtained annually from 2011 through 2015 from the American Community Survey (N = 49 582) was included. Data analysis was conducted from March 28, 2017,

SUBMITTER: Mahajan A 

PROVIDER: S-EPMC6324284 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature