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. 1990 Aug;25(3):527–560.

The effect of hospital control strategies on physician satisfaction and physician-hospital conflict.

L R Burns 1, R M Andersen 1, S M Shortell 1
PMCID: PMC1065642  PMID: 2380074

Abstract

This article examines several strategies that hospitals use to control their medical staffs. Such strategies include placing physicians on salary, developing exclusive hospital affiliations with physicians, and involving physicians in decision-making bodies. Using regression techniques, we investigate which hospitals are more likely to utilize these strategies and whether such strategies are effective in promoting physician-hospital integration. Contrary to our expectations, corporate hospital structures (e.g., for-profit hospitals, membership in multihospital systems) generally do not employ these strategies more often and oftentimes employ them less. There is also little evidence that control strategies are effective levers for increasing physician satisfaction or decreasing physician-hospital conflict. We suggest that control strategies are useful for purposes other than promoting physician-hospital integration. Finally, hospital ownership appears to exert the biggest effect on physician satisfaction and conflict.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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