Costs of Physician-Hospital Integration.


:Given that the enactment of the Patient Protection and Affordable Care Act of 2010 is expected to generate forces toward physician-hospital integration, this study examined an understudied, albeit important, area of costs incurred in physician-hospital integration. Such costs were analyzed through 24 semi-structured interviews with physicians and hospital administrators in a multiple-case, inductive study. Two extreme types of physician-hospital arrangements were examined: an employed model (ie, integrated salary model, a group of physicians integrated by a hospital system) and a private practice (ie, a physician or group of physicians who are independent of economic or policy control). Interviews noted that integration leads to 3 evident costs, namely, monitoring, coordination, and cooperation costs. Improving our understanding of the kinds of costs that are incurred after physician-hospital integration will help hospitals and physicians to avoid common failures after integration.


Medicine (Baltimore)




Cho NE




Has Abstract


2015-10-01 00:00:00
















  • Analysis of cervical human papillomavirus infection in 2300 women in Urumqi, China.

    abstract::This study is to investigate the cervical human papillomavirus (HPV) infection rate in women of Urumqi, China.The epidemiological questionnaire survey was used to study 2300 women in Urumqi with a prospective research method. The second-generation hybrid capture assay, cervical liquid-based cytology test, colposcopy, ...


    pub_type: 杂志文章


    authors: Yao L,Yuan M,Yuan J,Zhou P,Mei L,Cheng J

    更新日期:2018-11-01 00:00:00

  • Genetic Characteristics of CRF01_AE Among Newly Diagnosed HIV-1-Infected 16- to 25-Year Olds in 3 Geographic Regions of Guangxi, China.

    abstract::The aim of this study was to analyze the distribution of clusters and drug resistance of CRF01_AE among newly diagnosed, treatment-naïve HIV-infected teenagers and young adults in 3 major HIV-affected geographic regions of Guangxi Province, including the cities of Hezhou, Liuzhou, and Nanning. Samples were sequentiall...


    pub_type: 杂志文章


    authors: Zhang J,Shen ZY,Li Z,Liang SJ,He C,Liang FX,Feng Y,Li JJ,Ruan YH,Zhou YJ,Shao YM,Xing H,Liao LJ

    更新日期:2015-05-01 00:00:00

  • Impact of tumor size on outcome after stereotactic body radiation therapy for inoperable hepatocellular carcinoma.

    abstract::Stereotactic body radiation therapy (SBRT) for inoperable hepatocellular carcinoma (HCC) offers excellent local control rates. This study retrospectively analyzed the influence of different tumor size on treatment outcomes after SBRT.Between December 2008 and February 2014, 141 HCC patients were treated with Cyberknif...


    pub_type: 杂志文章


    authors: Kuo HT,Que J,Lin LC,Yang CC,Koay LB,Lin CH

    更新日期:2017-12-01 00:00:00

  • High 25-hydroxyvitamin D is associated with unexpectedly high plasma inflammatory markers in HIV patients on antiretroviral therapy.

    abstract::Inflammation associated with low 25-hydroxyvitamin D (25(OH)D) is associated with increased morbidity and mortality among HIV-infected patients with vitamin D deficiency. We investigated the association between 25(OH)D and soluble biomarkers among HIV-infected patients on stable antiretroviral therapy. This is a cross...


    pub_type: 杂志文章


    authors: Gangcuangco LMA,Kohorn LB,Chow DC,Keating SM,Norris PJ,Nagamine LS,Ndhlovu LC,Souza SA,Kallianpur KJ,Shikuma CM

    更新日期:2016-10-01 00:00:00

  • Somatic KRAS mutation in an infant with linear nevus sebaceous syndrome associated with lymphatic malformations: A case report and literature review.

    abstract:RATIONALE:Linear nevus sebaceous syndrome (LNSS) is a rare neurocutaneous syndrome, characterized by nevus sebaceous,central nervous system (CNS), ocular and skeletal abnormalities. The present study describes KRAS somatic mosaic mutation in a case of LNSS with lymphatic malformations (LMs). PATIENT CONCERNS:A 4-month...


    pub_type: 杂志文章


    authors: Lihua J,Feng G,Shanshan M,Jialu X,Kewen J

    更新日期:2017-11-01 00:00:00

  • Association of arterial stiffness with aortic calcification and tortuosity.

    abstract::Impact of arterial stiffness on aortic morphology has not been well evaluated. We sought to investigate the association of brachial-ankle pulse wave velocity (baPWV) with aortic calcification and tortuosity.A total of 181 patients (65.4 ± 10.4 years, males 59.7%) who underwent computed tomographic angiography and baPW...


    pub_type: 杂志文章


    authors: Moon I,Jin KN,Kim HL,Suh HJ,Lim WH,Seo JB,Kim SH,Zo JH,Kim MA

    更新日期:2019-08-01 00:00:00

  • Risk factors of uveitis in ankylosing spondylitis: An observational study.

    abstract:BACKGROUND:Uveitis is the most common extra-articular manifestation in patients with ankylosing spondylitis (AS). The prevalence and characteristics of uveitis in AS have been studied in previous literatures, whereas its associated risk factors have not been clarified. Therefore, this study analyzed the risk factors of...


    pub_type: 杂志文章


    authors: Sun L,Wu R,Xue Q,Wang F,Lu P

    更新日期:2016-07-01 00:00:00

  • Liver stiffness measurement and spleen diameter as predictors for the presence of esophageal varices in chronic hepatitis C patients.

    abstract::Although it is an invasive and unpleasant procedure, esophagogastroduodenoscopy (EGD) is still the gold standard for esophageal varices (EV) detection. The aim of this study was to investigate liver stiffness measurement (LSM) and spleen diameter as simple noninvasive tools for EV prediction in chronic hepatitis C pat...


    pub_type: 杂志文章


    authors: Tag-Adeen M,Alsenbesy M,Ghweil AA,Abd Elrazek MAH,Elgohary EA,Sallam MM,Ismael A,Nawara A

    更新日期:2017-11-01 00:00:00

  • Concurrent lymphoma and hemophilia B in a pediatric patient: A case report.

    abstract:INTRODUCTION:Lymphoma is the third most common cancer among children in the United States and Europe. Hemophilia is a congenital bleeding disorder characterized by deficiency of coagulation factor VIII or IX. Hemophilia B is a consequence of factor IX deficiency and has an incidence of 1 in 20,000 male births. A concur...


    pub_type: 杂志文章


    authors: Lu G,Qiao L,Li D,Liu Z,Zhao F,Yu D

    更新日期:2019-05-01 00:00:00

  • Pulmonary edema following diuretic therapy: A case report.

    abstract:INTRODUCTION:Diuretics are a commonly used for the treatment of acute pulmonary edema. However, inappropriate administration of diuretic drugs can result in clinical treatment failure and cause acute pulmonary edema. This is due to rapid decreases in intravascular volume as a result of diuretic treatment. To date, the ...


    pub_type: 杂志文章


    authors: Liu L,Zhang Q,Zhang T,Wu X,Sun L,Li B,Wang X,Chao Y,Hu Z

    更新日期:2020-02-01 00:00:00

  • Cetuximab concurrent with IMRT versus cisplatin concurrent with IMRT in locally advanced nasopharyngeal carcinoma: A retrospective matched case-control study.

    abstract::To evaluate the treatment efficacies and toxicities of concurrent cetuximab-based bioradiotherapy (BRT) or cisplatin-based chemoradiotherapy (CRT) in locally advanced nasopharyngeal carcinoma. :Patients with previously untreated locally advanced nasopharyngeal carcinoma were matched into pairs, and enrolled into the s...


    pub_type: 杂志文章


    authors: Wu X,Huang J,Liu L,Li H,Li P,Zhang J,Xie L

    更新日期:2016-09-01 00:00:00

  • Effects of early parenteral iron combined erythropoietin in preterm infants: A randomized controlled trial.

    abstract:BACKGROUD:The aim of the study was to evaluate the effect of early parenteral iron supplementation combined erythropoietin for prevention of anemia in preterm infants. METHODS:In total, 96 preterm infants were randomly assigned to 3 groups: a control group receiving standard parenteral nutrition (group 1: n = 31), an ...


    pub_type: 杂志文章,随机对照试验


    authors: Qiao L,Tang Q,Zhu W,Zhang H,Zhu Y,Wang H

    更新日期:2017-03-01 00:00:00

  • The impact of general/visceral obesity on completion of mesorectum and perioperative outcomes of laparoscopic TME for rectal cancer: A STARD-compliant article.

    abstract::To evaluate the impact of visceral obesity on laparoscopic total mesorectal excision (TME) and decide the best index to reflect completion of mesorectum and perioperative outcomes.Patients with rectal cancer who underwent laparoscopic TME were enrolled. The data including body mass index (BMI), visceral fat area (VFA)...


    pub_type: 杂志文章


    authors: Chen B,Zhang Y,Zhao S,Yang T,Wu Q,Jin C,He Y,Wang Z

    更新日期:2016-09-01 00:00:00

  • Clinicopathological features and surgical options for synchronous colorectal cancer.

    abstract::This study was conducted to investigate the clinicopathological features of synchronous cancers and treatment options according to their locations.Records of 8368 patients with colorectal cancer treated at our center between July 2003 and December 2010 were analyzed retrospectively. All synchronous colorectal cancer p...


    pub_type: 杂志文章


    authors: Lee BC,Yu CS,Kim J,Lee JL,Kim CW,Yoon YS,Park IJ,Lim SB,Kim JC

    更新日期:2017-03-01 00:00:00

  • Correlation of fatigue with other disease related and psychosocial factors in patients with rheumatoid arthritis treated with tocilizumab: ACT-AXIS study.

    abstract::To assess the hypothesis if tocilizumab (TCZ) is effective on disease activity, and also its effect in fatigue and other clinical and psychological disease-related factors in patients with rheumatoid arthritis (RA) treated with TCZ.A 24-week, multicenter, prospective, observational study in patients with moderate to s...


    pub_type: 杂志文章,多中心研究


    authors: Corominas H,Alegre C,Narváez J,Fernández-Cid CM,Torrente-Segarra V,Gómez MR,Pan FM,Morlà RM,Martínez FJR,Gómez-Centeno A,Ares LL,Molina RG,González-Albo SP,Dalmau-Carolà J,Pérez-García C,Álvarez CB,Ercole L,Terrancle MÁ

    更新日期:2019-06-01 00:00:00

  • Risk of Peripheral Arterial Occlusive Disease in Patients With Systemic Lupus Erythematosus: A Nationwide Population-Based Cohort Study.

    abstract::Systemic lupus erythematosus (SLE) is associated with atherosclerosis, but the relationship between SLE and peripheral arterial occlusive disease (PAOD) remains unclear. We sought to investigate this relationship by comparing cardiovascular complications in patients with and without SLE.Data on patients from 2000 to 2...


    pub_type: 杂志文章


    authors: Chuang YW,Yu MC,Lin CL,Yu TM,Shu KH,Kao CH

    更新日期:2015-11-01 00:00:00

  • Lymphovenous anastomosis for the treatment of persistent congenital chylothorax in a low-birth-weight infant: A case report.

    abstract:RATIONALE:Chylothorax remains a poorly understood phenomenon, and no optimal treatment or guidelines have been established. This is the first report of treating congenital chylothorax and lymphedema in a low-birth-weight infant by lymphovenous anastomosis (LVA). PATIENT CONCERNS:We report a case of successful LVA for ...


    pub_type: 杂志文章


    authors: Hayashida K,Yamakawa S,Shirakami E

    更新日期:2019-10-01 00:00:00

  • Successful retrieval of a plastic bead from the airway of a child by flexible bronchoscopy and a balloon-tipped catheter: A case report and literature review.

    abstract:RATIONALE:Bronchial foreign body aspiration is a critical condition that jeopardizes the respiratory function of children. Prompt diagnosis and removal of the foreign body can reduce occurrence of foreign body complications and mortality. Aspiration of spherical plastic beads is rare, and the bead is difficult to retri...


    pub_type: 杂志文章


    authors: Wang L,Zhang L,Li D,Li C,Wang Y,Gao M,Liang H,Meng F

    更新日期:2018-09-01 00:00:00

  • The influence of blood pressure patterns on renal outcomes in patients with chronic kidney disease: The long-term follow up result of the APrODiTe-2 study.

    abstract::Blood pressure (BP) control is the most established practice for preventing the progression and complications of chronic kidney disease (CKD). We examined the influence of BP patterns on target organ damage in hypertensive patients with CKD by using long-term follow-up data of the APrODiTe-2 study.We collected 5 years...


    pub_type: 杂志文章,多中心研究


    authors: Cha RH,Lee H,Lee JP,Kim YS,Kim SG

    更新日期:2020-02-01 00:00:00

  • IL-35-producing B cells in gastric cancer patients.

    abstract::A significant characteristic of advanced gastric cancer (GC) is immune suppression, which can promote the progression of GC. Interleukin 35 (IL-35) is an immune-suppressing cytokine, and it is generally recognized that this cytokine is secreted by regulatory T (Treg) cells. Recently, studies have found that IL-35 can ...


    pub_type: 杂志文章


    authors: Wang K,Liu J,Li J

    更新日期:2018-05-01 00:00:00

  • Pooled analysis of efficacy and safety of ureteral stent removal using an extraction string.

    abstract:OBJECTIVE:We conducted a Pooled analysis to investigate the efficacy and safety of ureteral stent removal using an extraction string. METHODS:A systematic review was performed by using the Preferred Reporting Items for Systematic Reviews and Pooled analyses. The sources including EMBASE, MEDLINE, and the Cochrane Cont...


    pub_type: 杂志文章,meta分析


    authors: Sun X,Dong L,Chen T,Huang Z,Zhang X,Wu J,Lin C,Cui Y

    更新日期:2019-09-01 00:00:00

  • Overall prevalence of human parvovirus B19 among blood donors in mainland China: A PRISMA-compliant meta-analysis.

    abstract:BACKGROUND:Human parvovirus B19 (B19V) infection exhibits a broad range of clinical outcomes. Blood transfusion is a common route of B19V transmission. However, information about the overall prevalence of B19V infection and B19V genotypes among blood donors in mainland China is lacking. METHODS:This meta-analysis was ...


    pub_type: 杂志文章,meta分析


    authors: Li X,Lin Z,Liu J,Tang Y,Yuan X,Li N,Lin Z,Chen Y,Liu A

    更新日期:2020-04-01 00:00:00

  • Is the evidence strong enough for acupuncture ameliorates clinical symptoms in patients with amyotrophic lateral sclerosis: A protocol for a systematic review and meta-analysis.

    abstract:BACKGROUND:Amyotrophic lateral sclerosis (ALS) is the most common form of motor neuron diseases. Until now, it lacks effective drugs for its treatment, and the median survival time of ALS is reported as only 20 to 48 months after the onset of symptoms. Acupuncture served as part of traditional Chinese therapy, has been...


    pub_type: 杂志文章,meta分析


    authors: Liao Q,Li Z,Zeng H,Feng X,Huang W,Fu C,Liang X,Li T

    更新日期:2019-05-01 00:00:00

  • Performance of the LACE index to identify elderly patients at high risk for hospital readmission in Singapore.

    abstract::Unplanned readmissions may be avoided by accurate risk prediction and appropriate resources could be allocated to high risk patients. The Length of stay, Acuity of admission, Charlson comorbidity index, Emergency department visits in past six months (LACE) index was developed to predict hospital readmissions in Canada...


    pub_type: 杂志文章


    authors: Low LL,Liu N,Ong MEH,Ng EY,Ho AFW,Thumboo J,Lee KH

    更新日期:2017-05-01 00:00:00

  • Effect of a serum lactate monitoring recommendation policy on patients treated with linezolid.

    abstract:ABSTRACT:Lactic acidosis is one of the most fatal adverse effects of linezolid, an antibiotic used to treat serious infections caused by antibiotic-resistant bacteria. However, the measures to prevent lactic acidosis have not been well established.We performed a retrospective study to analyze the impact of applying a s...


    pub_type: 杂志文章


    authors: Im JH,Lee JS,Chung MH,Kwon HY,Lee MJ,Baek JH

    更新日期:2021-01-08 00:00:00

  • De-escalation empirical antibiotic therapy improved survival for patients with severe aplastic anemia treated with antithymocyte globulin.

    abstract::We aimed to investigate the efficacy and safety of de-escalation empirical therapy for controlling infection in patients with severe aplastic anaemia (SAA) treated with antithymocyte globulin (ATG). Eighty-seven ATG-treated SAA patients who had microbiological culture-confirmed infections from 2006 to 2015 in our cent...


    pub_type: 杂志文章


    authors: Fu R,Chen T,Song J,Wang G,Li L,Ruan E,Liu H,Wang Y,Wang H,Xing L,Wu Y,Liu H,Qu W,Shao Z

    更新日期:2017-02-01 00:00:00

  • Lupus intestinal pseudo-obstruction and hydronephrosis: Case report.

    abstract:INTRODUCTION:Intestinal pseudo-obstruction (IPO) is a rare and life-threatening complication of lupus. PATIENT CONCERNS:A patient with long-standing lupus developed recurrent abdominal pain and distension as well as nausea and emesis. DIAGNOSIS:Imaging showed dilated small bowel loops with air-fluid levels and bowel ...


    pub_type: 杂志文章


    authors: Adler BL,Timlin H,Birnbaum J

    更新日期:2019-07-01 00:00:00

  • A new surgical procedure for synchronous esophageal squamous cell carcinoma and gastric adenocarcinoma: Case report: three cases reports.

    abstract:RATIONALE:The stomach is always used to reconstruct the upper digestive tract for esophageal cancer operation. However, problems arise when the esophageal cancer and gastric cancer present at the same time. No medical literature mentioned about this surgical procedure till now. PATIENT CONCERNS:Majority of the patient...


    pub_type: 杂志文章


    authors: Zhao Y,Cong B

    更新日期:2019-03-01 00:00:00

  • A novel technique of using a miniature plate in combination with tension band wiring to treat comminuted patellar fractures.

    abstract::Traditionally, tension band fixation has been used for treating simple fracture patterns; however, fixation remains a challenge, especially for comminuted fractures. We describe a new method of operation using a combination of a miniature plate with tension band wiring to treat comminuted patellar fractures. The aim o...


    pub_type: 杂志文章


    authors: Gao S,Zhang F,Gao T,Liu X,Zhang Z,Dai M

    更新日期:2018-04-01 00:00:00

  • Comparing the utility of 30- and 60-minute cortisol levels after the standard short synacthen test to determine adrenal insufficiency: A retrospective cross-sectional study.

    abstract::Short Synacthen test (SST) involves measuring the baseline, 30-, and 60-minute serum cortisol levels, after injecting 250 μg of synthetic adrenocorticotropic hormone or Synacthen (ACTH). This study aimed to review the current clinical practice of performing SST to establish a standardized test protocol and to addition...


    pub_type: 杂志文章


    authors: Butt MI,Alzuhayri N,Amer L,Riazuddin M,Aljamei H,Khan MS,Abufarhaneh M,Alrajhi E,Alnassar A,Alahmed R,Aljayar DMA,Abothenain FF,De Vol E

    更新日期:2020-10-23 00:00:00