Medical Group Structural Integration May Not Ensure That Care Is Integrated, From The Patient's Perspective.

Michaela J Kerrissey¹, Jonathan R Clark², Mark W Friedberg³, Wei Jiang⁴, Ashley K Fryer⁵, Molly Frean⁶, Stephen M Shortell⁷, Patricia P Ramsay⁸, Lawrence P Casalino⁹, Sara J Singer¹⁰

¹Michaela J. Kerrissey (mkerrissey@hbs.edu) is a doctoral student at Harvard Business School, in Boston, Massachusetts.

²Jonathan R. Clark is an assistant professor of management at the University of Texas at San Antonio.

³Mark W. Friedberg is a senior natural scientist at the RAND Corporation in Boston.

⁴Wei Jiang is a manager of biostatistics at Brigham and Women's Hospital, in Boston.

⁵Ashley K. Fryer is director of product strategy at Optum Analytics, in Boston.

⁶Molly Frean is a doctoral student at the Wharton School, University of Pennsylvania, in Philadelphia.

⁷Stephen M. Shortell is the Blue Cross of California Distinguished Professor of Health Policy and Management, a professor of organization behavior at the School of Public Health and Haas Business School, codirector of the Center for Healthcare Organizational and Innovation Research, and dean emeritus, all at the School of Public Health, University of California, Berkeley.

⁸Patricia P. Ramsay is administrative director at the Center for Health Care Organizational and Innovation Research at the University of California, Berkeley, School of Public Health.

⁹Lawrence P. Casalino is the Livingston Farrand Professor and chief of the Division of Health Policy and Economics in the Department of Healthcare Policy and Research at Weill Cornell Medical College, in New York City.

¹⁰Sara J. Singer is a professor of health care management and policy in the Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, and an associate professor in the Department of Medicine/Mongan Institute Health Policy Center, Massachusetts General Hospital at Harvard Medical School, in Boston.

PubMed DOI

Abstract

Structural integration is increasing among medical groups, but whether these changes yield care that is more integrated remains unclear. We explored the relationships between structural integration characteristics of 144 medical groups and perceptions of integrated care among their patients. Patients' perceptions were measured by a validated national survey of 3,067 Medicare beneficiaries with mul…

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