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http://dx.doi.org/10.1021/acs.jpcb.8b07730 | DOI Listing |
Phys Life Rev
December 2024
The University of Chicago, United States. Electronic address:
Phys Life Rev
November 2024
UMR7206 Eco-anthropology, CNRS-MNHN-Université Paris Cité, 57 rue Cuvier, 75005 Paris, France. Electronic address:
Int J Health Policy Manag
December 2024
College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia.
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 PDFInt J Health Policy Manag
December 2024
Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK.
Ubels and van Raaij provide a valuable account of the operation of novel hospital/medical specialist enterprise (MSE) contracts in a Dutch healthcare system shaped by market reform. However, their analytical distinction between the separate domains of contractual and relational governance frames the contractual domain more narrowly than does the relational contract theory widely deployed in socio-legal studies. The authors' conclusion that contract plays little or no part in governing relations between hospitals and MSEs leads them to underplay a wider realm of contractual practices that develop in the shadow of the written contract.
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