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Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Am+J+Manag+Care 2016 ; 22 (3): 172-6 Nephropedia Template TP
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Trends in hospital-ownership of physician practices and the effect on processes to improve quality #MMPMID27023022
Am J Manag Care 2016[Mar]; 22 (3): 172-6 PMID27023022show ga
Objectives: Reports suggest a trend for physician practices to change ownership from physicians to hospitals. It remains unclear how this change affects quality of patient care. We report the effect of a change to hospital ownership on the use of care management processes (CMPs) and health information technology (HIT) among practices in the U.S. Design: Trend analyses of three large national surveys of physician practices. Methods: We included two cohorts of practices: large practices with 20 or more physicians and small/medium practices with less than 20 physicians. The main outcomes were the changes in CMP and HIT indices among practices that were acquired by hospitals. We used multivariate logistic regression to assess these changes. Results: Large practices acquired by hospitals had larger increases in their CMP index than those that remained physician owned (11.0 point increase vs. 7.0 point decrease, adjusted p-value=0.03). Small/medium practices acquired by hospitals had smaller but significantly higher increases in their CMP score (3.8 points vs. 2.6 points, adjusted p=0.04). Among all practices, there were no significant differences in the change of the HIT index. Conclusions: We found a significant increases in the use of CMPs among practices that were acquired by hospitals and no difference in HIT use. These findings suggest that a trend for hospitals to own physician practices may positive effect on chronic disease management and quality of care.