title: The effects of relative resource configuration, organizational legitimacy, and integration on divestiture decisions among health systems.
abstract: This study examines the determinants of divestiture in health systems. Financial performance is a common indicator of a hospital's value. However, health systems may consider other factors that influence a hospital's value to the system. To enhance our understanding of hospital divestiture, we identify factors that enhance a hospital's value to the system and thus its likelihood of being retained. Our findings support previous studies that financial performance influences divestiture decisions. At the same time, our results identify three other factors influencing divestiture decisions: relative resource configuration, legitimacy, and integration.
authors.affiliation: School of Policy, Planning and Development, University of Southern California, Los Angeles, California, USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Succi-Lopez
authors.forename: Shoou-Yih D
authors.initials: SY
authors.lastname: Lee
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Alexander
mesh_terms: D003659:Decision Making, Organizational; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006271:Health Facility Closure; D006302:Health Services Research; D006764:Hospitals, Community / Q000458:organization & administration; D008137:Longitudinal Studies; D009936:Organizational Innovation; D040841:Resource Allocation / Q000706:statistics & numerical data; D014481:United States