Journal article
Regulatory change, constraints on adaptation and organizational failure: An empirical analysis of acute care hospitals
Strategic management journal, Vol.15(5), pp.345-363
06/1994
DOI: 10.1002/smj.4250150503
Abstract
The advent of the Medicare prospective payment system (PPS) in 1983 affected individual general hospitals in varying degrees based on their revenue and cost structures. These same factors served to constrain a hospital's ability to adapt to the post‐PPS environment. The three constraints are based on the proportion of the hospital's private‐pay (non‐Medicare/Medicaid) patients, economies of scale and economies of scope among medical services. We test the relationship between these constraints and organizational failure in the Chicago area. Hospitals selected out of the new environment (1986‐91) were at a significant relative disadvantage with respect to the proposed constraints. Copyright © 1994 John Wiley & Sons, Ltd.
Details
- Title: Subtitle
- Regulatory change, constraints on adaptation and organizational failure: An empirical analysis of acute care hospitals
- Creators
- Thomas S. Gruca - University of IowaDeepika Nath - Faculty of Administrative Studies , York University , North York, Ontario, Canada
- Resource Type
- Journal article
- Publication Details
- Strategic management journal, Vol.15(5), pp.345-363
- Publisher
- John Wiley & Sons, Ltd
- DOI
- 10.1002/smj.4250150503
- ISSN
- 0143-2095
- eISSN
- 1097-0266
- Number of pages
- 19
- Language
- English
- Date published
- 06/1994
- Academic Unit
- Marketing
- Record Identifier
- 9984380546102771
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