The impact of environmental turbulence on American hospital strategies.
It is clear that dramatic changes are taking place in the way health care organizations are being managed. Health care executives are having to make the transition from managing with a "pass the cost along to the consumer" perspective to one of extreme competitive pressure to reduce costs while maintaining appropriate levels of quality. Reports the results of a survey of 135 American hospitals' executives. Uses factor analysis to uncover four distinct strategies being operationalized. Classifies hospitals' strategies as: strategic analysers, externally focused and offensively proactive; quality providers, internally-focused and defensive reactors; price negotiators, externally-focused and offensively reactive; or cost efficiency providers, internally focused and defensively proactive.
Green
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RF
College of Business, East Tennessee State University, Johnson City 37614, USA.
Rockmore
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BW
Zimmerer
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TW
D003362:Cost-Benefit Analysis; D004465:Economic Competition; D017598:Efficiency, Organizational / Q000191:economics; D018166:Health Care Reform / Q000191:economics; D006740:Hospital Administrators; D006752:Hospital Planning / Q000191:economics*; D007857:Leadership; D018803:Models, Economic; D010934:Planning Techniques; D011787:Quality of Health Care / Q000191:economics; D012456:Salaries and Fringe Benefits; D014481:United States