Willingness to participate in accountable care organizations: health care managers' perspective.
Willingness to participate in accountable care organizations: health care managers' perspective.
复制标题
参与责任医疗组织的意愿：医疗保健管理者的观点。
DOI：
10.1097/01.hcm.0000440625.92879.e8
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Lin,BlossomYJ
中科院分区：
文献类型：
--
作者：
Wan,ThomasTH;DemachkieMasri,Maysoun;Ortiz,Judith;Lin,BlossomYJ
本研究旨在探讨如何卫生保健管理人员回应了负责任的医疗组织（ACO）。感知的好处和障碍的承诺，制定一个战略计划，ACO和愿意参与ACO的影响进行了分析，使用组织的社会资本，卫生信息技术的使用，卫生系统的整合和规模的卫生网络，地理因素，和知识的ACO作为预测因子。倾向分数匹配和分析用于调整状态和区域变化。当感知到的好处的数量大于感知到的障碍的数量时，医疗保健管理人员更有可能揭示出更强的承诺，以制定一个战略计划，采用ACO。医疗保健管理人员认为他们的组织缺乏领导支持或承诺，财政激励，以及法律的和监管支持ACO采用不太愿意参加ACO在未来。未来的研究应该收集更多的不同意见，从更大的样本量的卫生专业人员对ACO的参与。在采用创新的卫生保健提供系统时，应认真考虑卫生保健管理人员的观点。政策制定的透明度应考虑医疗保健管理人员的多方面意见。
This study examines how health care managers responded to the accountable care organization (ACO). The effect of perceived benefits and barriers of the commitment to develop a strategic plan for ACOs and willingness to participate in ACOs is analyzed, using organizational social capital, health information technology uses, health systems integration and size of the health networks, geographic factors, and knowledge about ACOs as predictors. Propensity score matching and analysis are used to adjust the state and regional variations. When the number of perceived benefits is greater than the number of perceived barriers, health care managers are more likely to reveal a stronger commitment to develop a strategic plan for ACO adoption. Health care managers who perceived their organizations as lacking leadership support or commitment, financial incentives, and legal and regulatory support to ACO adoption were less willing to participate in ACOs in the future. Future research should gather more diverse views from a larger sample size of health professionals regarding ACO participation. The perspective of health care managers should be seriously considered in the adoption of an innovative health care delivery system. The transparency on policy formulation should consider multiple views of health care managers.