Physician influence in interorganizational relationships between academic medical centers and community hospitals.
This study analyzes cooperative interorganizational relationships (IORs) between two different types of health care organizations. It proposes a power perspective analysis to better understand why IORs which represented many rational advantages to both partners were so difficult to realize in practice and often with only modest results. Hypotheses are tested explaining how physicians, as groups, exert important controls and can largely determine the results that can be realized in any IOR aimed at modifying medical education and patient referrals.
Sicotte
C
C
Department of Health Administration, University de Montréal.
Kane
N M
NM
D000046:Academic Medical Centers / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D006302:Health Services Research; D006764:Hospitals, Community / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D007396:Internship and Residency; D008505:Medical Staff, Hospital; D009935:Organizational Affiliation; D011209:Power, Psychological; D012017:Referral and Consultation; D014481:United States