MARC Record from marc_nuls

LEADER: 06735pam 22003374a 4500
001 9922731710001661
005 20150423145046.0
008 990917s2000 ilua b 001 0 eng
010 $a 99048850
020 $a0226743098 (cloth : alk. paper)
020 $a0226743101 (paper : alk. paper)
035 $a(CSdNU)u93873-01national_inst
035 $a(Sirsi) l99048850
035 $a(Sirsi) l99048850
035 $a(Sirsi) 01-AAL-5352
035 $a 99048850
040 $aDLC$cDLC$dDLC$dOrPss
042 $apcc
043 $an-us-ca
050 00 $aR 172 S24$bI57 2000
245 00 $aInstitutional change and healthcare organizations :$bfrom professional dominance to managed care /$cW. Richard Scott ... [et al.].
260 $aChicago :$bUniversity of Chicago Press,$c2000.
300 $axxv, 427 p. :$bill. ;$c24 cm.
504 $aIncludes bibliographical references (p. 383-417) and index.
505 0 $aA World in Transition -- Theoretical Framework -- Precursor Studies -- Limitations That Point the Way -- Integrating Levels and Perspectives -- Environments -- The Larger Issues -- Profound Institutional Change -- Congruence -- Structuration -- The Case of the San Francisco Bay Area: Focal Populations and Organizations -- San Francisco Bay Area -- Organizational Actors in the Healthcare Field -- Types of Social Actors -- Functions of Social Actors -- Institutional Roles of Social Actors -- Focal Populations of Organizations -- Selecting the Populations -- Data Collected on Focal Populations -- Hospitals -- Health Maintenance Organizations -- Home Health Agencies -- End-Stage Renal Disease Centers -- Multihospital and Integrated Healthcare Systems -- Other Organizational Populations -- Medical Groups -- Preferred Provider Organizations -- Focal Organizational Case Studies -- Kaiser Permanente Medical Care Program -- Palo Alto Medical Clinic -- Stanford University Hospital -- San Jose Hospital -- Data Sources -- Conclusion: Diverse Data, Multiple Levels -- Changing Healthcare Delivery Systems -- Major Trends in U.S. Healthcare Delivery Systems -- Increased Concentration -- Increased Specialization -- Increased Integration and Diversification -- Increased Linkages among Healthcare Organizations -- Increased Privatization -- Increased Market Orientation -- Theories of Organizational Change -- A General Typology -- Internal versus External Sources of Change -- Intentional versus Unintentional Change -- Incremental versus Discontinuous Change -- Changes in Populations of Healthcare Organizations -- Trends in Focal Organizational Populations -- Trends in Two Other Populations -- Comparing Population Trends -- Blurred and Shifting Boundaries -- Processes Shaping Organizational Populations: Ecological and Adaptive Change -- Changes in Hospital Characteristics -- Hospital Size -- Hospital Attributes -- Changes in Organizational Ownership -- Trend toward Proprietary Forms -- Trend toward Privatization -- Changes in Organizational Subtypes -- Generalist versus Specialist Hospitals -- Forms of Physician Organization among HMOs -- Resource Environments and Organizational Dynamics -- Perspectives on Material-Resource Environments -- Health Economics -- Industrial Organization Economics -- Trends in Material-Resource Environments in the Bay Area and Beyond -- Changes of Characteristics Affecting Demand -- Changes in Characteristics Affecting Supply -- Changes in Technology -- Rise in Healthcare Expenditures -- Resource Environments and Healthcare Organizations -- Resource Partitioning -- Institutional Effects on Resource Environments -- Entries into Organizational Populations -- Exits from Organizational Populations -- Effects of Institutional Eras on Resource Environments -- The Changing Institutional Environment -- Conceptualizing and Studying Institutional Environments -- Three Institutional Elements -- Three Institutional Components -- Charting Change in Healthcare Institutional Components -- Institutional Eras in American Healthcare -- The Era of Professional Dominance (1945-65) -- The Era of Federal Involvement (1966-82) -- The Era of Managerial Control and Market Mechanisms (1983-present) -- Institutional Environments and Organizational Legitimacy -- Governance Structures and Healthcare Organizations -- Legitimacy and Organizational Survival -- Normative Legitimacy -- Cognitive Legitimacy -- Regulative Legitimacy -- Legitimacy, Performance, and Organizational Survival -- Horizontal, Vertical, and Virtual Integration of Healthcare Organizations -- Multihospital Systems -- The Development of Hospital Associations and Multihospital Systems -- Trends in Bay Area Systems -- Governance Structures in Systems -- Determinants of System Membership -- Integrated Healthcare Systems -- Loci of Integration -- Modes of Integration and Interdependence -- Types of Integration -- Combining Forms of Interdependence and Modes of Integration -- Evidence of Rising Integration in the Bay Area -- Analysis of "Make" or "Buy" Decisions -- Conclusion: The Changing Structure of Linkages among Healthcare Organizations -- Institutional Environments and the Organizational Field -- Depicting Profound Institutional Change -- Institutional Logics -- Institutional Fragmentation -- Dynamics of Institutional Change -- Decline of Professional Dominance -- Advance of Managerial-Market Orientation -- Field-level Forces and Organizational Populations -- Field-level Forces and Fitness of Forms -- Empirical Evidence -- Institutional Change and Structuration Processes -- Modes of Governance and the Welfare State -- Identifying Profound Change in Social Systems: Reviewing Criteria and Evidence -- Multilevel Change -- Discontinuous Change -- New Rules and Governance Mechanisms -- New Logics -- New Types of Actors -- New Meanings -- New Relations among Actors -- Changes in Organizational Boundaries -- Change in Field Boundaries -- The Structuration and Destructuration of Organizational Fields -- Data Sources for Organizational Populations -- Supplemental Data and Analyses -- Statistical Comparison of Ecological and Adaptive Change -- Evidence of Discontinuous Change -- Quantitative Methodology -- Organizational Entries -- Organizational Exits -- Organizational Adaptation -- Factor Analysis.
650 0 $aHealth services administration$zCalifornia$zSan Francisco Bay Area $xHistory$y20th century.
650 0 $aMedical care$zCalifornia$zSan Francisco Bay Area$xHistory$y20th century.
650 0 $aMedicine$zCalifornia$zSan Francisco Bay Area$xHistory$y20th century.
700 1 $aScott, W. Richard.
948 $a06/05/2001$b06/20/2001
999 $aR 172 S24 I57 2000$wLC$c1$i31786101266663$d5/24/2013$e5/17/2013 $f6/8/2004$g1$lCIRCSTACKS$mNULS$n6$rY$sY$tBOOK$u6/20/2001