Health Affairs

Health Affairs, 23, no. 6 (2004): 51-62 doi: 10.1377/hlthaff.23.6.51 © 2004 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

This Article Full Text (HTML) Reprint (PDF) Erratum Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (13) Citing Articles via Google Scholar Google Scholar Articles by Rittenhouse, D. R. Articles by Bindman, A. Search for Related Content PubMed PubMed Citation Articles by Rittenhouse, D. R. Articles by Bindman, A. Related Collections Health Reform Managed Care Business Of Health Physicians State/Local Issues State/Local Issues - California

Physician Practice

Physician Organization And Care Management In California: From Cottage To Kaiser

Diane R. Rittenhouse, Kevin Grumbach, Edward H. O’Neil, Catherine Dower and Andrew Bindman

Data from a survey of practicing physicians in California’s thirteen largest urban counties were used to ascertain differences in care management processes, financial incentives for quality, and practice pressures by type of practice setting. Physicians in the Permanente medical groups have adopted and value quality-oriented, system-level care management tools to a much greater degree than physicians in independent practice association (IPA) networks or traditional "cottage-industry" practices. Our findings raise disturbing questions about how the health system will close the "quality chasm" in medical care without transforming the underlying organization of physician practices.

                      What's this?

This article has been cited by other articles:

				A. M. Mirabito and L. L. Berry Lessons That Patient-Centered Medical Homes Can Learn From the Mistakes of HMOs Ann Intern Med, February 2, 2010; 152(3): 182 - 185. [Abstract] [Full Text] [PDF]

				S. M. Shortell and L. P. Casalino Health Care Reform Requires Accountable Care Systems JAMA, July 2, 2008; 300(1): 95 - 97. [Full Text] [PDF]

				A. Mehrotra, A. M. Epstein, and M. B. Rosenthal Do Integrated Medical Groups Provide Higher-Quality Medical Care than Individual Practice Associations? Ann Intern Med, December 5, 2006; 145(11): 826 - 833. [Abstract] [Full Text] [PDF]

				L. P. Casalino Which Type of Medical Group Provides Higher-Quality Care? Ann Intern Med, December 5, 2006; 145(11): 860 - 861. [Full Text] [PDF]

				E. W Ford, N. Menachemi, and M T. Phillips Predicting the Adoption of Electronic Health Records by Physicians: When Will Health Care be Paperless? JAMIA, January 1, 2006; 13(1): 106 - 112. [Abstract] [Full Text] [PDF]

				F. J. Crosson The Delivery System Matters Health Aff., November 1, 2005; 24(6): 1543 - 1548. [Abstract] [Full Text] [PDF]

				A. Davidoff, G. Kenney, and L. Dubay Effects of the State Children's Health Insurance Program Expansions on Children With Chronic Health Conditions Pediatrics, July 1, 2005; 116(1): e34 - e42. [Abstract] [Full Text] [PDF]

				T. Gilmer, R. Kronick, and T. Rice Children Welcome, Adults Need Not Apply: Changes in Public Program Enrollment across States and over Time Med Care Res Rev, February 1, 2005; 62(1): 56 - 78. [Abstract] [PDF]