Adoption of hospital case management: economic and institutional influences

Case management became prevalent in US hospitals in the 1990s and is believed to be beneficial in controlling resource utilization, improving quality of care, reducing variation of care processes and enhancing both patient and staff satisfaction. This research investigates the adoption of case manag...

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Bibliographic Details
Published in:Social science & medicine (1982) 2005-06, Vol.60 (11), p.2489-2500
Main Authors: Roggenkamp, Susan D., White, Kenneth R., Bazzoli, Gloria J.
Format: Article
Language:English
Subjects:
Adoption of Innovations
Biological and medical sciences
Case Management
Case Management - utilization
Clinical pathways
Data Collection
Diffusion of Innovation
Economic Factors
Health care
Health care delivery
Hospital case management
Hospital case management Clinical pathways Institutional theory Managerial innovation USA
Hospitals
Hospitals, Community - economics
Innovation
Institutional theory
Institutions
Management
Management Styles
Managerial innovation
Medical sciences
Miscellaneous
Organizational Culture
Public health. Hygiene
Public health. Hygiene-occupational medicine
U.S.A
United States
United States of America
USA
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Summary:Case management became prevalent in US hospitals in the 1990s and is believed to be beneficial in controlling resource utilization, improving quality of care, reducing variation of care processes and enhancing both patient and staff satisfaction. This research investigates the adoption of case management by US hospitals at three time periods: 1994, 1997, and 2000. We propose that both economic and institutional factors influence the adoption of this management innovation, with economic factors being more influential in early and mid-periods (1994–1997) and institutional factors being more influential in later periods (after 1997). Using American Hospital Association Annual Survey Data and community data from the Area Resources File, we assess the relationship of baseline (1994) hospital and market characteristics to the likelihood of early adoption compared to late adoption, and mid-adoption compared to late adoption. We confirm that both economic and institutional forces influence the likelihood of early and mid-period adoption of case management compared to late adoption. We conclude that institutional influences aimed at achieving or maintaining legitimacy may be as strong a motivator for hospitals to adopt case management as are economic incentives. Implications for practice and further research are discussed.
ISSN:0277-9536
1873-5347
DOI:10.1016/j.socscimed.2004.11.010