The Effect of Hospital Ownership Conversions on Nonacute Care Providers

Using interorganizational theory and qualitatively exploring five specific hospital conversions, this article examines how a change in ownership status affects a hospital's competitive and collaborative behavior toward nonacute care providers serving vulnerable populations. Community benefits w...

Full description

Saved in:
Bibliographic Details
Published in:The Milbank quarterly 2003-01, Vol.81 (4), p.543-565
Main Authors: GUREWICH, DEBORAH, PROTTAS, JEFFREY, LEUTZ, WALTER
Format: Article
Language:English
Subjects:
Changes
Communities
Community structure
Community-Institutional Relations - economics
Community-Institutional Relations - trends
Consolidation and mergers
Cooperative Behavior
Corporations
Criminal conversion
Delivery of Health Care
Economic aspects
Economic Competition
Effects
Finance
Health care
Health care organizations
Health services
Hospital planning
Hospital Restructuring - economics
Hospitals
Hospitals, Community - economics
Hospitals, Community - organization & administration
Hospitals, Proprietary - economics
Hospitals, Voluntary - economics
Hospitals, Voluntary - organization & administration
Humans
Interagency collaboration
Interinstitutional Relations
Local communities
Medical care
Medical referrals
Medical sector
Medical service
Nonprofit hospitals
Nonprofit organizations
Organization theory
Organizational Case Studies
Organizational Innovation
Original
Ownership
Ownership - economics
Policy studies
Public health
Purchaser-Provider relationships
Qualitative research
Reorganization
Sociology
Sociology of health and medicine
Stakeholder
Teaching hospitals
United States
USA
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Using interorganizational theory and qualitatively exploring five specific hospital conversions, this article examines how a change in ownership status affects a hospital's competitive and collaborative behavior toward nonacute care providers serving vulnerable populations. Community benefits were found to be a sound foundation for analyzing the impact of hospital conversions on local communities, but the concept needs to be expanded to take into account not only the scope and intensity of hospital services provided but also the impact on community-based providers. In this framework, conversions were found to affect communities differently and produce varied effects for the stakeholders. Communities also were found to be active participants in determining how conversions would affect them and the local delivery system in which they would operate.
ISSN:0887-378X
1468-0009
DOI:10.1046/j.0887-378X.2003.00294.x