Applying Porter's model of competitive forces to health care, stakeholder concepts are integrated to analyze the future of medical groups. Using both quantitative survey and qualitative observational data, competitors, physician suppliers, integrated systems new entrants, patient and managed care buyers, and hospitals substitutes are examined.
John D. Blair, Ph.D., is The Trinity Company Professor in Management and Healthcare Strategy and Director, Center for Healthcare Strategy, College of Business Administration, Texas Tech University, Lubbock, Texas.
John A. Buesseler, M.D., M.S.B.A., is Founding Dean, Texas Tech School of Medicine, and Senior Consultant and CEO, Health Organization Management Systems International, Lubbock, Texas.
*This article was presented to the Health Care Administration Division of the Academy of Management at its annual meeting in Boston, August 1997. This article was selected for the Division's "Best Theory to Practice Paper Award," sponsored by Health Care Management Review.