We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Physician organization and care management in California: from cottage to Kaiser.
- Authors
Rittenhouse, Diane R; Grumbach, Kevin; O'Neil, Edward H; Dower, Catherine; Bindman, Andrew
- Abstract
Data from a survey of practicing physicians in California's thirteen largest urban counties were used to ascertain differences in care management processes, financial incentives for quality, and practice pressures by type of practice setting. Physicians in the Permanente medical groups have adopted and value quality-oriented, system-level care management tools to a much greater degree than physicians in independent practice association (IPA) networks or traditional "cottage-industry" practices. Our findings raise disturbing questions about how the health system will close the "quality chasm" in medical care without transforming the underlying organization of physician practices.
- Publication
Health affairs (Project Hope), 2004, Vol 23, Issue 6, p51
- ISSN
0278-2715
- Publication type
Journal Article
- DOI
10.1377/hlthaff.23.6.51