title: Hospital reorganization and restructuring achieved through merger.
abstract: This article examines hospital reorganization and restructuring activities following merger for two study periods: 1983-1988 and 1989-1996. In both periods, hospitals rated strengthening hospital financial position as the most important reason for merger. There were also similarities in reorganizing actions, especially reductions in service duplication, consolidation of departments and programs, reductions in medical and support FTEs, and reductions in administrative staffing. Hospital mergers during 1989-1996, however, focused increasingly on reducing nursing FTEs and less on converting acquired hospitals to new service lines.
authors.affiliation: Department of Health Administration, Virginia Commonwealth University, Richmond, USA.
authors.forename: Gloria J
authors.initials: GJ
authors.lastname: Bazzoli
authors.forename: Anthony
authors.initials: A
authors.lastname: Losasso
authors.forename: Richard
authors.initials: R
authors.lastname: Arnould
authors.forename: Madeleine
authors.initials: M
authors.lastname: Shalowitz
mesh_terms: D002497:Centralized Hospital Services; D003625:Data Collection; D004465:Economic Competition; D006273:Health Facility Merger / Q000458:organization & administration / Q000706:statistics & numerical data*; D006302:Health Services Research; D006754:Hospital Restructuring / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D009042:Motivation; D009741:Nursing Staff, Hospital / Q000600:supply & distribution; D020415:Personnel Downsizing; D011357:Product Line Management; D014481:United States