title: Organizational and environmental factors in hospital alliance membership and contract management: a resource-dependence perspective.
abstract: Using a resource-dependence perspective, we analyze the association between organizational and environmental characteristics and the likelihood that non-profit hospitals will enter into one of two forms of interorganizational relationship (IOR): hospital alliance membership or contract management (n = 1,661). The former is representative of high autonomy IORs, while the latter is representative of low autonomy IORs. Results of logistic regression analysis indicate that hospitals with greater resources and more favorable payer mix are more likely to join alliances, an IOR form which minimizes loss of autonomy. In addition, facilities operating in less favorable environments are more likely to be contract managed and less likely to be alliance members.
authors.affiliation: School of Business and Management, Temple University, Philadelphia, PA 19122, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Zinn
authors.forename: J
authors.initials: J
authors.lastname: Proenca
authors.forename: M D
authors.initials: MD
authors.lastname: Rosko
mesh_terms: D000573:American Hospital Association; D003284:Contract Services / Q000706:statistics & numerical data*; D004465:Economic Competition; D006279:Health Maintenance Organizations / Q000706:statistics & numerical data; D006302:Health Services Research; D006739:Hospital Administration / Q000706:statistics & numerical data*; D016013:Likelihood Functions; D009096:Multi-Institutional Systems / Q000191:economics / Q000458:organization & administration; D009935:Organizational Affiliation / Q000706:statistics & numerical data*; D011243:Preferred Provider Organizations / Q000706:statistics & numerical data; D011336:Probability; D012051:Reimbursement Mechanisms; D014481:United States