Title

Willingness To Participate In Accountable Care Organizations: Health Care Managers' Perspective

Keywords

Accountable care organizations (ACOs); Perceived barriers; Perceived benefits; Propensity score; Willingness to participate

Abstract

This study examines how health care managers responded to the accountable care organization (ACO). The effect of perceived benefits and barriers of the commitment to develop a strategic plan for ACOs and willingness to participate in ACOs is analyzed, using organizational social capital, health information technology uses, health systems integration and size of the health networks, geographic factors, and knowledge about ACOs as predictors. Propensity score matching and analysis are used to adjust the state and regional variations. When the number of perceived benefits is greater than the number of perceived barriers, health care managers are more likely to reveal a stronger commitment to develop a strategic plan for ACO adoption. Health care managers who perceived their organizations as lacking leadership support or commitment, financial incentives, and legal and regulatory support to ACO adoption were less willing to participate in ACOs in the future. Future research should gather more diverse views from a larger sample size of health professionals regarding ACO participation. The perspective of health care managers should be seriously considered in the adoption of an innovative health care delivery system. The transparency on policy formulation should consider multiple views of health care managers. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins.

Publication Date

1-1-2014

Publication Title

Health Care Manager

Volume

33

Issue

1

Number of Pages

64-74

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1097/01.HCM.0000440625.92879.e8

Socpus ID

84893248691 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84893248691

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