Willingness to Participate in Accountable Care Organization: Healthcare Managers’ Perspective

摘要

This study examines how healthcare 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 is used to adjust the state- and regional variations. When the number of perceived benefits is greater than the number of perceived barriers, healthcare managers are more likely to reveal a stronger commitment to develop a strategic plan for ACO adoption. Healthcare 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 ACOs participation. The perspective of healthcare 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 healthcare managers.