title: The impact of environmental turbulence on American hospital strategies.
abstract: 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.
authors.affiliation: College of Business, East Tennessee State University, Johnson City 37614, USA.
authors.forename: R F
authors.initials: RF
authors.lastname: Green
authors.forename: B W
authors.initials: BW
authors.lastname: Rockmore
authors.forename: T W
authors.initials: TW
authors.lastname: Zimmerer
mesh_terms: 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