Health Affairs

Posting date: October 15, 2003

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Health Affairs, 10.1377/hlthaff.w3.492
Copyright © 2003 by Project HOPE

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How Different Is California? A Comparison Of U.S. Physician Organizations

Robin R. Gillies ^1*, Stephen M. Shortell ², Lawrence Casalino ³, James C. Robinson ⁴, Thomas G. Rundall ⁵

¹ Robin Gillies is a project director in the Department of Health Policy and Management, School of Public Health, University of California, Berkeley.
² Steve Shortell is dean of the School of Public Health, and professor at the University of California, Berkeley.
³ Larry Casalino is an assistant professor in the Department of Health Studies, University of Chicago.
⁴ Jamie Robinson is a professor in the Department of Health Policy and Management, UC Berkeley School of Public Health.
⁵ Tom Rundall is a professor in the Department of Health Policy and Management, UC Berkeley School of Public Health.

^*Corresponding author.

Abstract

Data from a national study of medical groups and independent practice associations are used to examine the extent to which California physician organizations are different from physician organizations in the rest of the United States. California physician organizations are different in many ways: most notably, they are more likely to have external incentives to improve quality and more likely to use recommended care management processes for treating patients with chronic illnesses. The implications of these differences for policy and practice are discussed.

Key Words: Physicians, State/Local Issues, Managed Care--Physicians, Business Of Health

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