Abstract:
BACKGROUND:The rapid increase in the number of hospitals becoming members of multihospital systems in recent decades has led to the formation of local and regional clusters that have the potential to function as regional systems, a model long advocated as a policy strategy for improving health system performance. PURPOSE:This study addresses both cluster efficiency and the hierarchical configuration with which hospitals are grouped into clusters. METHODOLOGY/APPROACH:This study uses 2004 data from the American Hospital Association Annual Survey multihospital system designations updated to 2005. Efficiencies are measured using data envelopment analysis. PRINCIPAL FINDINGS:The data envelopment analysis results show that 20 clusters or 5.8% of the sample of 343 clusters are highly efficient; the remaining 323 or 94.2% of the clusters received lesser efficiency scores, averaging 0.73 on the data envelopment analysis measure. The study found the number of beds in the primary hospitals and the percentage of hospitals in the clusters that were urban, two of three variables that reflect patterns of regional model service configurations, to be significantly correlated with cluster efficiency. CONCLUSION:Results suggest that many hospital clusters have evolved service configurations that are consistent with historically conceptualized regional organizational forms and that the particular regional pattern of distributing service capacities across cluster members might contribute to measured performance. The study also confirms the applicability of data envelopment analysis for assessing the performance of complex, multiunit organizations.
journal_name
Health Care Manage Revjournal_title
Health care management reviewauthors
Sikka V,Luke RD,Ozcan YAdoi
10.1097/HMR.0b013e3181a16ba7subject
Has Abstractpub_date
2009-07-01 00:00:00pages
251-61issue
3eissn
0361-6274issn
1550-5030pii
00004010-200907000-00010journal_volume
34pub_type
杂志文章abstract:AIM:The aim of this study was to examine the relationship between organizational, supervisor, and coworker support, as perceived by registered nurses and their boundary-spanning behaviors. Furthermore, this article examines the mediating role of the affective organizational commitment of nurses in these relationships. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000210
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abstract::Agency theory explains the results of conflicts of incentive between principals and their agents. Health care organizations offer many examples of agency problems, among which are conflicts between patients and physicians and between administrators and investors. ...
journal_title:Health care management review
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract::This article discusses epidemiological methodology: comparing rates, confounding, the use of confidence intervals, Bayes' theorem, and occurrence screening. An appreciation of the limits of epidemiological methods will provide the manager with realistic expectations of the quality assurance process. ...
journal_title:Health care management review
pub_type: 杂志文章
doi:
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pub_type: 杂志文章
doi:10.1097/HMR.0b013e318225998b
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journal_title:Health care management review
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doi:10.1097/HMR.0000000000000193
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journal_title:Health care management review
pub_type: 杂志文章,评审
doi:10.1097/00004010-200110000-00006
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journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1983-04-01 00:00:00
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journal_title:Health care management review
pub_type: 指南,杂志文章
doi:10.1097/00004010-199101620-00005
更新日期:1991-04-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1988-04-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1983-07-01 00:00:00
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journal_title:Health care management review
pub_type: 评论,杂志文章
doi:10.1097/00004010-200307000-00010
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000023
更新日期:2015-07-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-199802330-00005
更新日期:1998-07-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198701220-00006
更新日期:1987-04-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/HMR.0b013e3181c22bdc
更新日期:2010-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/00004010-200004000-00008
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pub_type: 杂志文章
doi:10.1097/00004010-198400930-00010
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200504000-00002
更新日期:2005-04-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/01.HMR.0000304498.97308.40
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200007000-00010
更新日期:2000-07-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400930-00014
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doi:10.1097/01.HMR.0000324906.04025.33
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-200104000-00005
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/00004010-198400920-00006
更新日期:1984-04-01 00:00:00
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更新日期:2011-04-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
doi:10.1097/HMR.0000000000000305
更新日期:2021-01-26 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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journal_title:Health care management review
pub_type: 杂志文章,多中心研究
doi:
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