Understanding U.S. Health Systems: Using Mixed Methods to Unpack Organizational Complexity.

ABSTRACT:

Introduction

As hospitals and physician organizations increasingly vertically integrate, there is an important opportunity to use health systems to improve performance. Prior research has largely relied on secondary data sources, but little is known about how health systems are organized "on the ground" and what mechanisms are available to influence physician practice at the front line of care.

Methods

We collected in-depth information on eight health systems through key informant interviews, descriptive surveys, and document review. Qualitative data were systematically coded. We conducted analyses to identify organizational structures and mechanisms through which health systems influence practice.

Results

As expected, we found that health systems vary on multiple dim

SUBMITTER: Ridgely MS 

PROVIDER: S-EPMC6676926 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature