Effect of hospital conversion on organizational decision making and service coordination

被引：12

作者：

Anderson, RA ^{[1
]}

Allred, CA

Sloan, FA

机构：

[1] Duke Univ, Sch Nursing, Durham, NC 27706 USA

[2] Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC USA

[3] Duke Univ, Ctr Hlth Policy Law & Management, Durham, NC USA

来源：

HEALTH CARE MANAGEMENT REVIEW | 2003年 / 28卷 / 02期

关键词：

complexity theory; discontinuous change; nurses; ownership conversion; participation in decision making; physicians; service coordination; threat-rigidity theory;

D O I：

10.1097/00004010-200304000-00005

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This study looks into the "'black box" of hospital ownership conversion in a "natural experiment." We posed two competing theories about how conversion might influence management practices. Results support complexity theory and not threat-rigidity theory. As predicted from complexity theory, MDs and RNs had greater levels of participation and influence over final decision choices in converted hospitals than in nonconverted hospitals.

引用

页码：141 / 154

页数：14

共 55 条

[1] Coordination as a critical element of managed care [J].