title: Organizational structure and the delivery of primary care to older Americans.
abstract: OBJECTIVE
  To explore how internal factors, such as organizational size, mission, ownership, and managerial communication and control structures, affect the delivery of primary care to older Americans across a wide variety of practice settings: ambulatory practices, hospitals, nursing homes, and home healthcare agencies.
  
  
  METHODS
  Use of the structure/process/outcome paradigm and contingency theory to examine the empirical research linking structural factors to outcomes.
  
  
  CONCLUSIONS
  Using these studies as a background, we consider the implications for the provision of primary care to older Americans including the impact of evolving intraorganizational structure in healthcare organization.
authors.affiliation: School of Business and Management, Temple University, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Zinn
authors.forename: V
authors.initials: V
authors.lastname: Mor
mesh_terms: D000368:Aged; D000553:Ambulatory Care / Q000458:organization & administration; D006302:Health Services Research; D006299:Health Services for the Aged / Q000458:organization & administration*; D006699:Home Care Services / Q000458:organization & administration; D006707:Homes for the Aged / Q000458:organization & administration; D006801:Humans; D017146:Models, Organizational; D009735:Nursing Homes / Q000458:organization & administration; D010043:Outcome and Process Assessment, Health Care; D010343:Patient Admission; D011320:Primary Health Care / Q000458:organization & administration*