title: A resource-dependence model of hospital contract management.
abstract: This study empirically examines the determinants of hospital entry into management contracts with multihospital systems. Using a resource-dependence framework, the study tests whether market conditions, regulatory climate, management effectiveness, and certain enabling factors affect the probability of hospital entry into a contract management arrangement. The study used a pooled sample of 312 contract-managed and 936 traditionally managed hospitals. Results suggest the importance of management effectiveness, regulatory climate, and hospital ownership (investor owned or nonprofit) as predisposing conditions of contract management.
authors.affiliation: Department of Health Services Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109-2029.
authors.forename: J A
authors.initials: JA
authors.lastname: Alexander
authors.forename: M A
authors.initials: MA
authors.lastname: Morrisey
mesh_terms: D003284:Contract Services; D005376:Financial Management; D006739:Hospital Administration; D006742:Hospital Bed Capacity; D009096:Multi-Institutional Systems / Q000458:organization & administration*; D014481:United States