Influence of organizational components on the delivery of asthma care.
The documented growing morbidity, mortality, and disability from asthma indicate a failure in effective delivery of appropriate care. This article reviews how different components of organizational technology in hospitals, free-standing emergency centers, physician practices, prepaid groups, and schools may be linked to asthma care and asthma outcomes. A framework to address how practice patterns, risk factors, and outcomes relate to organizational characteristics, such as time orientation, uncertainty, available technology, standardization of work, specialization of work, coordination, and control strategies, is presented.
Fitzgerald
J
J
Department of Medicine, Regenstrief Institute for Health Care, Richard Roudebush Veterans Administration Medical Center.
Freund
D A
DA
Hughett
B
B
McHugh
G J
GJ
D000554:Ambulatory Care Facilities; D001249:Asthma / Q000628:therapy*; D003695:Delivery of Health Care / Q000458:organization & administration*; D004632:Emergency Medical Services; D006279:Health Maintenance Organizations; D006297:Health Services Accessibility; D006761:Hospitals; D006801:Humans; D011364:Professional Practice; D012307:Risk Factors; D012574:Schools; D016896:Treatment Outcome; D014481:United States