{"id":"https://openalex.org/W43118012","doi":null,"title":"The effect of physician practice organization on efficient utilization of hospital resources.","display_name":"The effect of physician practice organization on efficient utilization of hospital resources.","publication_year":1994,"publication_date":"1994-12-01","ids":{"openalex":"https://openalex.org/W43118012","mag":"43118012","pmid":"https://pubmed.ncbi.nlm.nih.gov/8002351","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1070029"},"language":"en","primary_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1070029","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1070029","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Serv Res","raw_type":"Text"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1070029","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101485099","display_name":"Lawton Robert Burns","orcid":"https://orcid.org/0000-0003-1252-8155","observed_orcids":["https://orcid.org/0000-0003-1252-8155"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L R Burns","raw_affiliation_strings":["Department of Health Care Systems, Wharton School,University of Pennsylvania, Philadelphia 19104"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Care Systems, Wharton School,University of Pennsylvania, Philadelphia 19104","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009593345","display_name":"Jon Arsen Chilingerian","orcid":"https://orcid.org/0000-0001-9317-9000","observed_orcids":["https://orcid.org/0000-0001-9317-9000"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J A Chilingerian","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5069706816","display_name":"Douglas R. Wholey","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"D R Wholey","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":7.7548,"has_fulltext":false,"cited_by_count":58,"citation_normalized_percentile":{"value":0.96466897,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"29","issue":"5","first_page":"583","last_page":"603"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.015300000086426735,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.007199999876320362,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medical-practice-organization","display_name":"medical practice organization","score":0.9129999876022339},{"id":"https://openalex.org/keywords/hospital-resource-utilization","display_name":"hospital resource utilization","score":0.9610000252723694},{"id":"https://openalex.org/keywords/efficiency","display_name":"efficiency","score":0.4569999873638153},{"id":"https://openalex.org/keywords/cesarean-section","display_name":"cesarean section","score":0.9049999713897705},{"id":"https://openalex.org/keywords/vaginal-delivery","display_name":"vaginal delivery","score":0.9850000143051147},{"id":"https://openalex.org/keywords/hospital-charges","display_name":"hospital charges","score":0.7409999966621399},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9980000257492065},{"id":"https://openalex.org/keywords/managed-care","display_name":"managed care","score":0.8529999852180481},{"id":"https://openalex.org/keywords/practice-volume","display_name":"practice volume","score":0.699999988079071},{"id":"https://openalex.org/keywords/physician-characteristics","display_name":"physician characteristics","score":0.5450000166893005},{"id":"https://openalex.org/keywords/maternity-care","display_name":"obstetric care","score":0.7269999980926514},{"id":"https://openalex.org/keywords/managed-competition","display_name":"managed competition","score":0.7459999918937683},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.6890000104904175}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7418698072433472},{"id":"https://openalex.org/C2778869765","wikidata":"https://www.wikidata.org/wiki/Q6028363","display_name":"Inefficiency","level":2,"score":0.5529947280883789},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5243908762931824},{"id":"https://openalex.org/C2780265253","wikidata":"https://www.wikidata.org/wiki/Q1416012","display_name":"Managed care","level":3,"score":0.4902229905128479},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.45358777046203613},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.37431973218917847},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001130","descriptor_name":"Arizona","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005249","descriptor_name":"Fees and Charges","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006302","descriptor_name":"Health Services Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006769","descriptor_name":"Hospitals, General","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007325","descriptor_name":"Institutional Practice","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008329","descriptor_name":"Managed Care Programs","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011216","descriptor_name":"Practice Management, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012044","descriptor_name":"Regression Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D036861","descriptor_name":"Delivery, Obstetric","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D036861","descriptor_name":"Delivery, Obstetric","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":3,"locations":[{"id":"pmh:oai:pubmedcentral.nih.gov:1070029","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1070029","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Serv Res","raw_type":"Text"},{"id":"pmid:8002351","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8002351","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health services research","raw_type":"Journal Article"},{"id":"mag:43118012","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8002351","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1070029","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1070029","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Serv Res","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.7246000170707703,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":50,"referenced_works":["https://openalex.org/W43853822","https://openalex.org/W94065690","https://openalex.org/W332783479","https://openalex.org/W1490716625","https://openalex.org/W1543641828","https://openalex.org/W1762046782","https://openalex.org/W1968408418","https://openalex.org/W1970892330","https://openalex.org/W1977870154","https://openalex.org/W1981812265","https://openalex.org/W1983820865","https://openalex.org/W1983832017","https://openalex.org/W1986179577","https://openalex.org/W1986773891","https://openalex.org/W1989017553","https://openalex.org/W2002106583","https://openalex.org/W2007574757","https://openalex.org/W2007756690","https://openalex.org/W2013942502","https://openalex.org/W2017670500","https://openalex.org/W2029099429","https://openalex.org/W2032457780","https://openalex.org/W2033444893","https://openalex.org/W2033659763","https://openalex.org/W2036953034","https://openalex.org/W2043015032","https://openalex.org/W2044134462","https://openalex.org/W2057514385","https://openalex.org/W2058174243","https://openalex.org/W2060206942","https://openalex.org/W2061735592","https://openalex.org/W2062169027","https://openalex.org/W2063790038","https://openalex.org/W2064551188","https://openalex.org/W2073591460","https://openalex.org/W2074493180","https://openalex.org/W2075712500","https://openalex.org/W2078869497","https://openalex.org/W2084077416","https://openalex.org/W2084673607","https://openalex.org/W2099177432","https://openalex.org/W2295351536","https://openalex.org/W2326037736","https://openalex.org/W2329430506","https://openalex.org/W2329671113","https://openalex.org/W2404323419","https://openalex.org/W2415461465","https://openalex.org/W2415516510","https://openalex.org/W2416810050","https://openalex.org/W2436011138"],"related_works":["https://openalex.org/W2301509916","https://openalex.org/W2013942502","https://openalex.org/W94065690","https://openalex.org/W2067565606","https://openalex.org/W2147568093","https://openalex.org/W1995396727","https://openalex.org/W2332666526","https://openalex.org/W2151007946","https://openalex.org/W2992313555","https://openalex.org/W43654588"],"abstract_inverted_index":{"OBJECTIVE:":[0],"This":[1],"study":[2,20,81],"examines":[3],"variations":[4],"in":[5,28,38,138,156,175,179,214,221,283],"the":[6,74,84,90,152,165,172,176,180,184,194,212,222],"efficient":[7],"use":[8],"of":[9,86,93,112,126,131,144,154,161,167,187,196,211,219,254],"hospital":[10,42,127,132,140,178,215],"resources":[11],"across":[12],"individual":[13],"physicians.":[14],"DATA":[15],"SOURCES":[16],"AND":[17],"SETTING:":[18],"The":[19,80,122,264],"is":[21,149,232],"conducted":[22],"over":[23],"a":[24,208,251],"two-year":[25],"period":[26],"(1989-1990)":[27],"all":[29,169],"short-term":[30],"general":[31],"hospitals":[32],"with":[33,68,171,183,247],"50":[34],"or":[35],"more":[36,261],"beds":[37],"Arizona.":[39],"We":[40],"examine":[41],"discharge":[43,191],"data":[44,57],"for":[45,190,202],"43,625":[46],"women":[47],"undergoing":[48],"cesarean":[49],"sections":[50],"and":[51,118,142,159,193,217,242,250,276],"vaginal":[52],"deliveries":[53],"without":[54],"complications.":[55,197],"These":[56],"include":[58],"physician":[59,87,113,116,119,205],"identifiers":[60],"that":[61,96,230,267],"permit":[62],"us":[63],"to":[64,89,259,272],"link":[65],"patient":[66,157,203,240],"information":[67,69],"on":[70,105],"physicians":[71],"provided":[72],"by":[73,109,234],"state":[75],"medical":[76],"association.":[77],"STUDY":[78],"DESIGN:":[79],"first":[82],"measures":[83],"contribution":[85],"characteristics":[88,206],"explanatory":[91],"power":[92],"regression":[94],"models":[95],"predict":[97],"resource":[98,106],"use.":[99],"It":[100],"then":[101],"tests":[102],"hypothesized":[103],"effects":[104,125],"utilization":[107],"exerted":[108],"two":[110,223],"sets":[111],"level":[114],"factors:":[115],"background":[117],"practice":[120,128,235,285],"organization.":[121],"latter":[123],"includes":[124],"volume,":[129],"concentration":[130],"practice,":[133,141],"percent":[134],"managed":[135,243,255,277],"care":[136,244,256,269],"patients":[137,145,170,257],"one's":[139],"diversity":[143],"treated.":[146],"Efficiency":[147],"(inefficiency)":[148],"measured":[150],"as":[151,239],"degree":[153],"variation":[155],"charges":[158,216],"length":[160,218],"stay":[162,220],"below":[163],"(above)":[164],"average":[166],"treating":[168],"same":[173,177,181,185],"condition":[174],"year":[182],"severity":[186],"illness,":[188],"controlling":[189,201],"status":[192],"presence":[195],"PRINCIPAL":[198],"FINDINGS:":[199],"After":[200],"factors,":[204],"explain":[207],"significant":[209],"amount":[210],"variability":[213],"maternity":[224],"conditions.":[225],"Results":[226],"also":[227],"support":[228],"hypotheses":[229],"efficiency":[231],"influenced":[233],"organization":[236],"factors":[237],"such":[238],"volume":[241],"load.":[245],"Physicians":[246],"larger":[248],"practices":[249],"higher":[252],"share":[253],"appear":[258],"be":[260],"efficient.":[262],"CONCLUSIONS:":[263],"results":[265],"suggest":[266],"health":[268],"reform":[270],"efforts":[271],"develop":[273],"physician-hospital":[274],"networks":[275],"competition":[278],"may":[279],"promote":[280],"greater":[281],"parsimony":[282],"physicians'":[284],"behavior.":[286]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
