title: Market and efficiency-based strategic responses to environmental changes in the health care industry.
abstract: This study examined the linkages between perceived environmental changes in the health care industry, corresponding strategic adaptations, and their impact on select performance measures as reported by managers. Results from a sample of 187 hospitals indicate that efficiency-oriented strategy is chosen more often by organizations that perceive their industry environment to be relatively stable and certain while market-focused strategies are chosen more often by organizations that perceive greater environmental instability and uncertainty.
authors.affiliation: School of Management, The University of Michigan-Dearborn, USA.
authors.forename: Kamalesh
authors.initials: K
authors.lastname: Kumar
authors.forename: Ram
authors.initials: R
authors.lastname: Subramanian
authors.forename: Karen
authors.initials: K
authors.lastname: Strandholm
mesh_terms: D004465:Economic Competition; D017598:Efficiency, Organizational; D019981:Health Care Sector / Q000458:organization & administration / Q000639:trends*; D006302:Health Services Research; D006739:Hospital Administration / Q000191:economics / Q000379:methods*; D009936:Organizational Innovation; D010934:Planning Techniques; D011445:Prospective Payment System; D012494:Sampling Studies; D012922:Social Change; D012931:Social Environment; D014481:United States