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Does Physician-Hospital Vertical Integration Affect Hospital Output?
Health Serv Insights
December 2024
Department of Healthcare Administration and Policy, School of Public Health, University of Nevada at Las Vegas, Las Vegas, NV, USA.
Background: Physician-hospital vertical integration is gaining steam but it is unclear how they affect hospital output.
Objective: To examine the direct impact of vertical integration on hospital output.
Design: A pooled design with 6-year data using linear regressions was used.
Construct Clarity in Physician-Hospital Alignment: The Need for Precision in Definition, Measurement, and Management Comment on "Alignment in the Hospital-Physician Relationship: A Qualitative Multiple Case Study of Medical Specialist Enterprises in the Netherlands".
Int J Health Policy Manag
December 2024
Management Department, Opus College of Business, University of St. Thomas, Saint Paul, MN, USA.
The study by Ubels and van Raaij highlights the importance of alignment in hospital-physician relationships and the challenges in understanding, measuring, and managing it. Despite extensive research on alignment, drawing precise conclusions about its nature, drivers, and outcomes is difficult due to construct clarity and construct validity issues. This commentary focuses on clarifying these issues and the problems they create for hospitals attempting to manage alignment, as well as for scientific inquiry in this area.
View Article and Find Full Text PDFIdentifying a Cohort of People Who Are Transgender and Gender-Diverse Within Saskatchewan's Administrative Health Databases.
Health Serv Insights
January 2024
College of Rehabilitation Sciences, University of Saskatchewan, Saskatoon, SK, Canada.
This was a retrospective cohort study. Algorithms were developed to identify a cohort of people who were trans and gender diverse (PTGD) among provincial-level administrative health databases (physician, hospital, emergency department, and pharmacy) from April 1, 2012 to September 30, 2020. Then, healthcare usage was compared between the identified cohort and the general population.
View Article and Find Full Text PDFIVC filter - assessing the readability and quality of patient information on the Internet.
J Vasc Surg Venous Lymphat Disord
March 2024
New Cross Hospital, The Royal Wolverhampton NHS Trust, Wolverhampton, England, United Kingdom.
Objective: The internet is an increasingly favorable source of information regarding health-related issues. The aim of this study is to apply appropriate evaluation tools to assess the evidence available online about inferior vena cava (IVC) filters with a focus on quality and readability.
Methods: A search was performed during December 2022 using three popular search engines, namely Google, Yahoo, and Bing.
Does increasing physician volume in primary healthcare facilities under the hierarchical medical system help reduce hospital service utilisation in China? A fixed-effects analysis using province-level panel data.
BMJ Open
February 2023
School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, Guangdong, China
Objective: To examine whether increases in physician volume in primary healthcare facilities are associated with reduced utilisation of hospital outpatient and inpatient services after China facilitated the establishment of the hierarchical medical system.
Design: We used a two-way fixed-effects regression to examine the association between the annual number of physicians in primary healthcare facilities and that of patient visits per physician, inpatient admissions and total expenses per outpatient visit in public hospitals during 2010-2014 and 2015-2019. Variables were log transformed to ensure the normal distribution of the data.
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