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Changes in Quality of Health Care Delivery after Vertical Integration
Authors:Caroline S Carlin  Bryan Dowd  Roger Feldman
Affiliation:Bryan Dowd, Ph.D., and Roger Feldman, Ph.D., are with the Division of Health Policy and Management, University of Minnesota, Minneapolis, MN.
Abstract:ObjectivesTo fill an empirical gap in the literature by examining changes in quality of care measures occurring when multispecialty clinic systems were acquired by hospital-owned, vertically integrated health care delivery systems in the Twin Cities area.ConclusionsMoving a clinic system into a vertically integrated delivery system resulted in limited increases in quality of care indicators. Caution is warranted when the acquisition causes disruption in referral patterns.
Keywords:Vertical integration  quality of care  provider consolidation
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