Landscape of Health Systems in the United States.

<jats:p> Despite the prevalence of vertical integration, data and research focused on identifying and describing health systems are sparse. Until recently, we lacked an enumeration of health systems and an understanding of how systems vary by key structural attributes. To fill this gap, the Agency for Healthcare Research and Quality developed the Compendium of U.S. Health Systems, a data resource to support research on comparative health system performance. In this article, we describe the methods used to create the Compendium and present a picture of vertical integration in the United States. We identified 626 health systems in 2016, which accounted for 70% of nonfederal general acute care hospitals. These systems varied by key structural attributes, including size, ownership, and geographic presence. The Compendium can be used to study the characteristics of the U.S. health care system and address policy issues related to provider organizations. /jats:p

Furukawa, Landscape of Health Systems in the United States, 'Medical Care Research and Review' (77, 4) pp. 357-366. Copyright © 2019. DOI: 10.1177/1077558718823130. Users who receive access to an article through a repository are reminded that the article is protected by copyright and reuse is restricted to non-commercial and no derivative uses. Users may also download and save a local copy of an article accessed in an institutional repository for the user's personal reference. For permission to reuse an article, please follow our Process for Requesting Permission.



Work Title Landscape of Health Systems in the United States.
Open Access
  1. Michael F. Furukawa
  2. Rachel M. Machta
  3. Kirsten A. Barrett
  4. David J. Jones
  5. Stephen M. Shortell
  6. Dennis P. Scanlon
  7. Valerie A. Lewis
  8. A. James O’Malley
  9. Ellen R. Meara
  10. Eugene C. Rich
License CC BY-NC-ND 4.0 (Attribution-NonCommercial-NoDerivatives)
Work Type Article
  1. SAGE Publications
Publication Date January 23, 2019
Publisher Identifier (DOI)
  1. 10.1177/1077558718823130
  1. Medical Care Research and Review
Deposited September 09, 2021




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Work History

Version 1

  • Created
  • Added Landscape+of+Health+Systems+in+the+United+States_HHS+Public+Access_MCRR_2020-1.pdf
  • Added Creator Michael F. Furukawa
  • Added Creator Rachel M. Machta
  • Added Creator Kirsten A. Barrett
  • Added Creator David J. Jones
  • Added Creator Stephen M. Shortell
  • Added Creator Dennis P. Scanlon
  • Added Creator Valerie A. Lewis
  • Added Creator A. James O’Malley
  • Added Creator Ellen R. Meara
  • Added Creator Eugene C. Rich
  • Published
  • Updated
  • Updated