Two decades of organizational change in health care: what have we learned?

Medical Care Research and Review : MCRR
G J BazzoliClarence Yap

Abstract

The 1980s and 1990s witnessed a substantial wave of organizational restructuring among hospitals and physicians, as health providers rethought their organizational roles given perceived market imperatives. Mergers, acquisitions, internal restructuring, and new interorganizational relationships occurred at a record pace. Matching this was a large wave of study and discourse among health services researchers, industry experts, and consultants to understand the causes and consequences of organizational change. In many cases, this literature provides mixed signals about what was accomplished through these organizational efforts. The purpose of this review is to synthesize this diverse literature. This review examines studies of horizontal consolidation and integration of hospitals, horizontal consolidation and integration of physician organizations, and integration and relationship development between physicians and hospitals. In all, around 100 studies were examined to assess what was learned through two decades of research on organizational change in health care.

References

Sep 1, 1986·Journal of Health and Social Behavior·J A AlexanderS M Shortell
Jan 1, 1984·Health Affairs·D Ermann, J Gabel
Dec 21, 1995·The New England Journal of Medicine·J C Robinson, L P Casalino
Jul 1, 1995·Medical Care·R J BogueC Chan
Jan 1, 1994·Health Care Management Review·G J Bazzoli, W O Cleverley
Jan 1, 1994·Health Affairs·S M ShortellD A Anderson
Jan 1, 1993·Health Affairs·L R BurnsS M Shortell
Jan 1, 1993·Health Care Management Review·L R Burns, D P Thorpe
Jan 1, 1993·Health Affairs·S Q Duffy, B Friedman
Jan 1, 1995·Health Care Management Review·J E KralewskiS Potthoff
Jan 1, 1996·Health Affairs·J C Robinson, L P Casalino
Jan 1, 1996·Health Affairs·D DranoveM Shanley
Jan 1, 1996·Health Affairs·M A MorriseyV Johnson
Nov 14, 1997·Health Care Management Review·L R Burns
Feb 7, 1998·Medical Care·T L MarkS Guterman
Jan 24, 1998·JAMA : the Journal of the American Medical Association·J C Robinson
Jan 28, 1998·Health Affairs·R A ConnorT A Radcliff
Jan 28, 1998·Health Affairs·J P ClementC W Pai
May 22, 1998·Health Care Management Review·J E KralewskiC Johnson
Jun 5, 1998·Annual Review of Public Health·T S Snail, J C Robinson
Jun 25, 1998·Health Affairs·K GrumbachE H O'Neil
Nov 6, 1998·Health Care Management Review·L R BurnsV Johnson
Mar 26, 1999·Health Affairs·J C Robinson
Jun 7, 1992·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·L Lemieux-Charles, P Leatt
Sep 5, 1992·Journal of Health Economics·G A MelnickR Pattison
Dec 9, 1995·The Journal of Ambulatory Care Management·J E KralewskiP J Veazie
Jun 6, 1996·The Journal of Ambulatory Care Management·M V Pauly
Sep 4, 1996·The Journal of Ambulatory Care Management·K D MooreE H Fischer
Dec 1, 1996·Medical Care Research and Review : MCRR·B J WeinerS M Shortell
Dec 1, 1996·Medical Care Research and Review : MCRR·G C Pope, R T Burge
Nov 4, 1995·Journal of Health Economics·W J Lynk
May 29, 1999·Journal of Health Economics·E B KeelerJ Zwanziger
May 29, 1999·Journal of Health Economics·D Dranove, R Ludwick
Jun 8, 1999·Health Care Management Review·S J HoR E Kidwell
Oct 8, 1999·Medical Care Research and Review : MCRR·S Y Lee, J A Alexander
Oct 8, 1999·Medical Care Research and Review : MCRR·D A ConradM Haase
Dec 10, 1999·Medical Care Research and Review : MCRR·E NauenbergJ W Osborne

❮ Previous
Next ❯

Citations

Dec 10, 2009·JAMA : the Journal of the American Medical Association·David J NyweideElliott S Fisher
Mar 25, 2008·Health Care Management Review·David F CaldwellMargaret Lapiz
Dec 24, 2008·Health Care Management Review·Michael I Harrison, James Kimani
Jul 25, 2009·Health Care Management Review·Veronica SikkaYasar A Ozcan
Dec 17, 2009·Health Care Management Review·Hanh Q TrinhRoice D Luke
Feb 9, 2012·Health Care Management Review·Christopher D Zatzick, Douglas F Zatzick
Sep 17, 2009·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Laura A Siminoff, Heather M Marshall
Aug 5, 2006·Substance Abuse Treatment, Prevention, and Policy·Rebecca WellsThomas A D'Aunno
Apr 25, 2014·Health Economics, Policy, and Law·Miriam J Laugesen, George France
Jun 3, 2014·BMC Health Services Research·Raynald PineaultJean-Frédéric Levesque
Dec 29, 2013·Health Care Management Science·Nazaré RegoJorge Pinho de Sousa
Nov 3, 2012·Journal of Health Organization and Management·Soki ChoiMats Brommels
Aug 29, 2009·Journal of Health Organization and Management·Soki Choi, Mats Brommels
Mar 2, 2013·The Journal of Ambulatory Care Management·Nancy BorkowskiGloria J Deckard
Dec 12, 2012·Nursing Administration Quarterly·Kathy Malloch, Bernadette Mazurek Melnyk
Jul 18, 2015·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Larry R Hearld, Nathaniel W Carroll
Jun 6, 2009·Health Services Research·Marsha Gold
Jan 6, 2012·Social Science & Medicine·Graeme CurrieJustin Waring
Dec 10, 2013·Health Policy·Daniele MasciaAmerico Cicchetti
Nov 29, 2013·Implementation Science : IS·Randa AttiehJeremy Grimshaw
Sep 1, 2015·Health Care Management Review·William Opoku-Agyeman, Nir Menachemi
Oct 18, 2013·Medical Care Research and Review : MCRR·Amit NigamBrian R Golden
Sep 8, 2012·Medical Care Research and Review : MCRR·Shoou-Yih Daniel LeeC Michael Belden
Apr 24, 2015·Medical Care Research and Review : MCRR·Lawton Robert BurnsRalph Muller
Dec 17, 2016·Health Care Management Review·Larry R HearldWilliam Opoku-Agyeman
Jan 9, 2020·Journal of Health Organization and Management·Elsa Solstad, Inger Johanne Petterson
Jan 15, 2016·Health Care Management Review·Hanh Q Trinh, James W Begun
May 8, 2020·Journal of Health Organization and Management·David de KamRoland Bal
Jun 25, 2015·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Nathan W CarrollJohn R C Wheeler
Sep 15, 2020·Journal of Healthcare Management / American College of Healthcare Executives·Timothy AtteberyRobert Weech-Maldonado
Nov 18, 2017·Medical Care Research and Review : MCRR·Yousef Abdulsalam, Eugene Schneller
Nov 26, 2019·Health Services Research and Managerial Epidemiology·Sung W Choi, Avi Dor
Dec 8, 2020·Health Services Research·Dennis P ScanlonCheryl L Damberg
Sep 11, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·James AlrassiLatha Chandran
Jul 18, 2021·Social Science & Medicine·Luca GiorgioAmerico Cicchetti

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.