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Titolo:
Market forces and organizational evolution at freestanding children's hospitals in the United States
Autore:
Yee, JD; Shelton, D; Girouard, S; Homer, C; Goldmann, D;
Indirizzi:
Childrens Hosp, Dept Med, Boston, MA 02115 USA Childrens Hosp Boston MA USA 02115 s Hosp, Dept Med, Boston, MA 02115 USA Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 h Med, Dept Pediat, Boston, MA 02115 USA Natl Assoc Childrens Hosp & Related Inst, Alexandria, VA USA Natl Assoc Childrens Hosp & Related Inst Alexandria VA USA ndria, VA USA
Titolo Testata:
AMBULATORY PEDIATRICS
fascicolo: 2, volume: 1, anno: 2001,
pagine: 117 - 121
SICI:
1530-1567(200103/04)1:2<117:MFAOEA>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
MANAGED CARE; FACULTY;
Keywords:
health facility merger; health services research; hospital administration; hospital restructuring; hospital-physician joint ventures; integrated delivery of health care; organizational innovation; pediatric hospitals;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Yee, JD Hlth Vis Inc, 1601 Trapelo Rd, Waltham, MA 02451 USA Hlth Vis Inc 1601 Trapelo Rd Waltham MA USA 02451 am, MA 02451 USA
Citazione:
J.D. Yee et al., "Market forces and organizational evolution at freestanding children's hospitals in the United States", AMBU PEDIAT, 1(2), 2001, pp. 117-121

Abstract

Objectives.-To describe market forces that affect freestanding children's hospitals, to describe the development of formal business relationships among these hospitals and pediatricians and other health care delivery organizations, and to explore the impact of such changes on the roles and missionsof these hospitals. Methods.-All freestanding children's hospitals in the United States in 1991 were identified (n = 44). A survey was mailed to the chief executive officer of each hospital. Data were collected for the period of 1991 through 1996. Twenty-nine of the 44 hospitals surveyed responded. Results.-Twenty-seven (93.1%) of the 29 hospitals reported an increase in competition and a more advanced stage of market evolution. Twenty-five hospitals (86.2%) developed at least one type of business relationship with pediatricians or another health care organization. Twenty-one (72.4%) developed a network of pediatricians. Seventeen (58.6%) developed a relationship with an adult-focused health care organization. There were no significant differences in teaching, research, or charity care activities between those respondents that developed a pediatric network and those that did not or between those respondents that integrated with adult-focused health care organization and those that did not. Conclusions.-Nearly all freestanding children's hospitals developed new business relationships with physicians and other health care organizations. These new relationships were not associated with any significant changes in teaching, research, or charity care.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 10:42:41