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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...
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| Published in: | The Milbank quarterly 2003-01, Vol.81 (4), p.543-565 |
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| Main Authors: | , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c7104-bc9aabd77dd3b0770103cc2a802163367ae68c16060e2f4dd14ccf567fa256f23 |
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| cites | cdi_FETCH-LOGICAL-c7104-bc9aabd77dd3b0770103cc2a802163367ae68c16060e2f4dd14ccf567fa256f23 |
| container_end_page | 565 |
| container_issue | 4 |
| container_start_page | 543 |
| container_title | The Milbank quarterly |
| container_volume | 81 |
| creator | GUREWICH, DEBORAH PROTTAS, JEFFREY LEUTZ, WALTER |
| description | 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. |
| doi_str_mv | 10.1046/j.0887-378X.2003.00294.x |
| format | article |
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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. 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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.</description><subject>Changes</subject><subject>Communities</subject><subject>Community structure</subject><subject>Community-Institutional Relations - economics</subject><subject>Community-Institutional Relations - trends</subject><subject>Consolidation and mergers</subject><subject>Cooperative Behavior</subject><subject>Corporations</subject><subject>Criminal conversion</subject><subject>Delivery of Health Care</subject><subject>Economic aspects</subject><subject>Economic Competition</subject><subject>Effects</subject><subject>Finance</subject><subject>Health care</subject><subject>Health care organizations</subject><subject>Health services</subject><subject>Hospital planning</subject><subject>Hospital Restructuring - economics</subject><subject>Hospitals</subject><subject>Hospitals, Community - economics</subject><subject>Hospitals, Community - organization & administration</subject><subject>Hospitals, Proprietary - economics</subject><subject>Hospitals, Voluntary - economics</subject><subject>Hospitals, Voluntary - organization & administration</subject><subject>Humans</subject><subject>Interagency collaboration</subject><subject>Interinstitutional Relations</subject><subject>Local communities</subject><subject>Medical care</subject><subject>Medical referrals</subject><subject>Medical sector</subject><subject>Medical service</subject><subject>Nonprofit hospitals</subject><subject>Nonprofit organizations</subject><subject>Organization theory</subject><subject>Organizational Case Studies</subject><subject>Organizational Innovation</subject><subject>Original</subject><subject>Ownership</subject><subject>Ownership - economics</subject><subject>Policy studies</subject><subject>Public health</subject><subject>Purchaser-Provider relationships</subject><subject>Qualitative research</subject><subject>Reorganization</subject><subject>Sociology</subject><subject>Sociology of health and medicine</subject><subject>Stakeholder</subject><subject>Teaching hospitals</subject><subject>United States</subject><subject>USA</subject><issn>0887-378X</issn><issn>1468-0009</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><sourceid>8BJ</sourceid><recordid>eNqNklFv0zAUhSMEYmXwDxCKkOAt4cZObOcBJBSNblLZmFRE3yzXcahLahc76bp_j0OqDngpT7Z8vnN0c3KjKM4gzSAn79YpMEYTTNkiRQA4BUBlnu4fRZMsJywBgPJxNDlCZ9Ez79fhFTBmT6OzAFGW03ISTecrFV80jZJdbJv40vqt7kQb39wZ5fxKb-PKml24amt8bE18bY2QfafiSjgVf3F2p-sgP4-eNKL16sXhPI--frqYV5fJ7GZ6VX2cJZKGyZOlLIVY1pTWNV4CpZABlhIJBigjGBMqFGEyI0BAoSav6yyXsikIbQQqSIPwefRhzN32y42qpTKdEy3fOr0R7p5bofnfitEr_t3uOCIloHwIeHsIcPZnr3zHN9pL1bbCKNt7TkM3OKAnwSKUiwJ9GqRQlgViJ8HwpxADMiS-_gdc296Z0CtHiBUMZ4QEiI2QdNZ7p5pjCRnwYUv4mg8LMMQu-LAl_PeW8H2wvvqzxAfjYS0C8OYACC9F2zhhpPYPXIFZGGSY4f3I3elW3f_3APzz1ew23IL_5ehf-866ox-TInzkICejrH2n9kdZuB-cUEwL_u16yudTRhYVXvBb_AuKPfCd</recordid><startdate>20030101</startdate><enddate>20030101</enddate><creator>GUREWICH, DEBORAH</creator><creator>PROTTAS, JEFFREY</creator><creator>LEUTZ, WALTER</creator><general>Blackwell Publishing, Inc</general><general>Blackwell Publishers</general><general>Blackwell</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TQ</scope><scope>8BJ</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20030101</creationdate><title>The Effect of Hospital Ownership Conversions on Nonacute Care Providers</title><author>GUREWICH, DEBORAH ; PROTTAS, JEFFREY ; LEUTZ, WALTER</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c7104-bc9aabd77dd3b0770103cc2a802163367ae68c16060e2f4dd14ccf567fa256f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Changes</topic><topic>Communities</topic><topic>Community structure</topic><topic>Community-Institutional Relations - economics</topic><topic>Community-Institutional Relations - trends</topic><topic>Consolidation and mergers</topic><topic>Cooperative Behavior</topic><topic>Corporations</topic><topic>Criminal conversion</topic><topic>Delivery of Health Care</topic><topic>Economic aspects</topic><topic>Economic Competition</topic><topic>Effects</topic><topic>Finance</topic><topic>Health care</topic><topic>Health care organizations</topic><topic>Health services</topic><topic>Hospital planning</topic><topic>Hospital Restructuring - economics</topic><topic>Hospitals</topic><topic>Hospitals, Community - economics</topic><topic>Hospitals, Community - organization & administration</topic><topic>Hospitals, Proprietary - economics</topic><topic>Hospitals, Voluntary - economics</topic><topic>Hospitals, Voluntary - organization & administration</topic><topic>Humans</topic><topic>Interagency collaboration</topic><topic>Interinstitutional Relations</topic><topic>Local communities</topic><topic>Medical care</topic><topic>Medical referrals</topic><topic>Medical sector</topic><topic>Medical service</topic><topic>Nonprofit hospitals</topic><topic>Nonprofit organizations</topic><topic>Organization theory</topic><topic>Organizational Case Studies</topic><topic>Organizational Innovation</topic><topic>Original</topic><topic>Ownership</topic><topic>Ownership - economics</topic><topic>Policy studies</topic><topic>Public health</topic><topic>Purchaser-Provider relationships</topic><topic>Qualitative research</topic><topic>Reorganization</topic><topic>Sociology</topic><topic>Sociology of health and medicine</topic><topic>Stakeholder</topic><topic>Teaching hospitals</topic><topic>United States</topic><topic>USA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GUREWICH, DEBORAH</creatorcontrib><creatorcontrib>PROTTAS, JEFFREY</creatorcontrib><creatorcontrib>LEUTZ, WALTER</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Milbank quarterly</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GUREWICH, DEBORAH</au><au>PROTTAS, JEFFREY</au><au>LEUTZ, WALTER</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Hospital Ownership Conversions on Nonacute Care Providers</atitle><jtitle>The Milbank quarterly</jtitle><addtitle>Milbank Q</addtitle><date>2003-01-01</date><risdate>2003</risdate><volume>81</volume><issue>4</issue><spage>543</spage><epage>565</epage><pages>543-565</pages><issn>0887-378X</issn><eissn>1468-0009</eissn><coden>MIQUES</coden><abstract>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. 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| fulltext | fulltext |
| identifier | ISSN: 0887-378X |
| ispartof | The Milbank quarterly, 2003-01, Vol.81 (4), p.543-565 |
| issn | 0887-378X 1468-0009 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2690242 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); JSTOR Archival Journals and Primary Sources Collection; Access via Business Source (EBSCOhost); Wiley-Blackwell Read & Publish Collection; PAIS Index; PubMed Central |
| 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 |
| title | The Effect of Hospital Ownership Conversions on Nonacute Care Providers |
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