The influence of care management tools on physician practice change across organizational settings

David Haggstrom, Andrew B. Bindman

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: A study was conducted to assess whether physician reports of practice change were associated with the type of health care organization delivering the tools and the type or number of tools received. Methods: A mail survey was sent in 2001 to primary care physicians practicing in the 13 largest urban counties in California. Results: Physicians were more likely to report a practice change if they received care management tools from a medical group (28%) or a group/staff model health maintenance organization (HMO; 24%) than if they received tools from a health plan (9%; p = .01 and p =.005, respectively). HMO physicians were significantly more likely to receive each type of tool than other physicians. After adjusting for the type or number of tools, the receipt of care management tools from medical groups, but not HMOs, remained a significant predictor of practice change. Physicians reported practice change in association with the number of tools received from a medical group (adjusted odds ratio [AOR] 1.49; 95% confidence interval [CI] 1.08-2.06) and the tools received from an independent practice association, health plan, or hospital outside a medical group (AOR 1.21; 95% CI 1.03-1.42). Discussion: Medical groups have the strongest influence on practice change, whereas group/staff model HMOs have the highest level of implementation.

Original languageEnglish
Pages (from-to)672-680
Number of pages9
JournalJoint Commission Journal on Quality and Patient Safety
Volume33
Issue number11
StatePublished - Nov 2007

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Organizational Innovation
Health Maintenance Organizations
Physicians
Independent Practice Associations
Odds Ratio
Confidence Intervals
Health
Postal Service
Primary Care Physicians
Organizations
Delivery of Health Care

ASJC Scopus subject areas

  • Leadership and Management

Cite this

The influence of care management tools on physician practice change across organizational settings. / Haggstrom, David; Bindman, Andrew B.

In: Joint Commission Journal on Quality and Patient Safety, Vol. 33, No. 11, 11.2007, p. 672-680.

Research output: Contribution to journalArticle

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