The Impact of Organizational and Managerial Factors on the Quality of Care in Health Care Organizations

Medical Care Research and Review

Volumn 51, Issue 4, 1994, Pages 381-428

  Flood, Ann Barry ^a  

^a DARTMOUTH MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL PRACTICE; HEALTH CARE QUALITY; HOSPITAL MANAGEMENT; MEDICAL STAFF; METHODOLOGY; ORGANIZATION; ORGANIZATION AND MANAGEMENT; REVIEW; STANDARD; UNITED STATES;

EFFICIENCY, ORGANIZATIONAL; HOSPITAL ADMINISTRATION; MEDICAL STAFF, HOSPITAL; ORGANIZATIONAL CULTURE; PHYSICIAN'S PRACTICE PATTERNS; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 0028709406     PISSN: 10775587     EISSN: 15526801     Source Type: Journal    
DOI: 10.1177/107755879405100402     Document Type: Article

References (207)

1. Agency for Health Care Policy and Research. “Allied Health Perspectives on Guideline Development.” AHCPR Notes OM91-0507. Rockville, MD: Agency for Health Care Policy and Research, November 1990.
2. Alexander, J.A., and T.L. Amburgey. “The Dynamics of Change in the American Hospital Industry: Transformation or Selection?” Medical Care Review 44, no. 3 (1987): 279-321.
3. Andersen, T.F., H. Bronnum-Hansen, T. Sejr, and C. Roepstorff. “Elevated Mortality Following Transurethral Resection of the Prostate for Benign Hypertrophy ! But Why?” Medical Care 28, no. 10 (1990): 870-881.
4. Anderson, O.W., and M.C. Shields. “Quality Measurement and Control in Physician Decision Making: The State of the Art.” Health Services Research 17, no. 2 (Summer 1982): 125-155.
5. Arrington, B., and C.C. Haddock. “Who Really Profits from Not-For-Profits?” Health Services Research 25, no. 3 (Fall 1980): 291-304.
6. Barrett, D., and P.H. Campbell. “Walking Softly: The Role of Management in Altering Physician Practice Patterns in the Hospital Corporation of America.” Advances in Health Economics and Health Services Research 7 (1987): 157-78. Greenwich, CT: JAI Press.
7. Becker, S., and D. Neuhauser. The Efficient Organization. New York: Elsevier Press, 1975.
8. Becker, E.R., and F.A. Sloan. “Hospital Ownership and Performance.” Economic Inquiry 23 (January 1985): 21-36.
9. Berwick, D.M. “Blazing the Trail of Quality: the HFHS Quality Management Process.” Frontiers of Health Services Management 7, no. 4 (1991): 47-50.
10. Biggs, E.L., J. Kralewski, and G. Brown. “A Comparison of Contract-Managed and Traditionally Managed Non-Profit Hospitals.” Medical Care 18, no. 6 (1980): 585-596.
11. Bindman, A.B., D. Keane, and N. Lurie. “A Public Hospital Closes: Impact on Patients' Access to Care and Health Status.” Journal of the American Medical Association 264 (1990): 2899-2904.
12. Borbas, C., M.A. Stump, K. Dedecker, N. Lurie, D. McLaughlin, and A. Shultz. “The Minnesota Clinical Comparison and Assessment Project.” Quality Review Bulletin 16 (February 1990): 87-92.
13. Brook, R.H., J.B. Kosecoff, R.E. Park, M.R. Chassin, C.M. Winslow, and J.R. Hampton. “Diagnosis and Treatment of Coronary Disease: Comparison of Doctors' Attitudes in the USA and the UK.” The Lancet (1988): 750-753.
14. Brook, R.H., and K.N. Lohr. “Efficacy, Effectiveness, Variations and Quality: Boundary-Crossing Research.” Medical Care 23, no. 5 (1985): 710-722.
15. Burns, L.R., and D.R. Wholey. “The Effects of Patient, Hospital, and Physician Characteristics on Length of Stay and Mortality.” Medical Care 29, no. 3 (1991): 251-271.
16. Chassin, M.R., J. Kosecoff, R.E. Park, C.M. Winslow, K.L. Kahn, N.J. Merrick, J. Keesey, A. Fink, D.H. Solomon, and R.H. Brook. “Does Inappropriate Use Explain Geographic Variations in the Use of Health Services? A Study of Three Procedures.” Journal of the American Medical Association 258, no. 18 (1987): 2533-37.
17. Cleary, P.D., and B.J. McNeil. “Patient Satisfaction as an Indicator of Quality Care.” Inquiry 25, no. 1 (1988): 25-36.
18. Clendenning, M.K., H. Wolfe, L.J. Shuman, and G.A. Huber. “The Effect of a Target Date-Based Utilization Review Program on LOS.” Medical Care 14, no. 9 (1976): 751-764.
19. Cohen, F., and R.S. Lazarus. “Coping with the Stresses of Illness.” In Health Psychology, edited by G. Stone, F. Cohen, and N. E. Adler. San Francisco: Jossey-Bass, 1979, 217-254.
20. Cohen, S.N., A.B. Flood, D.U. Himmelberger, R.J. Mangini, and T.N. Moore. Development, Implementation, and Evaluation of the Monitoring and Evaluation of Drug Interactions by a Pharmacy-Oriented Report System (MEDIPHOR) HS00739. Final Report to the National Center for Health Services Research. Springfield, VA: National Technical Information Service, 1980.
21. Collins, V. “A Multi-Institutional Approach to the Assurance of Quality.” In Organization and Change in Health Care Quality Assurance, edited by R. D. Luke, J. C. Krueger, and R. E. Modrow. Rockville, MD: Aspen Publications, 1983, pp. 281-294.
22. Commission on Professional and Hospital Activities (CPHA). “Cholecystectomy Mortality.” PAS Reporter 8, no. 8 (April 1970).
23. Comstock, D.E., and W.R. Scott. “Technology and the Structure of Subunits: Distinguishing Individual and Workgroup Effects.” Administrative Science Quarterly 22, no. 2 (1977): 177-201.
24. Cooney, J.P., and T.L. Alexander. Multihospital System: An Evaluation, Parts 1-4. Chicago: Health Services Research Center of the Hospital Research And Educational Trust and Northwestern University, 1975.
25. Cromwell, J., J.B. Mitchell, and W.B. Stason. “Learning by Doing in CABG Surgery.” Medical Care 28, no. 1 (1990): 6-18.
26. Dagnone, A. “A Study of Multiple Unit Hospital Systems.” Ph.D. diss., University of Toronto, 1967.
27. Davies, A.R., and J.E. Ware, Jr. “Involving Consumers in Quality of Care Assessment.” Health Affairs 7, no. 1 (1988): 33-48.
28. Deming, W.E. Out of the Crisis. Cambridge: Massachusetts Institute of Technology, 1986.
29. Des Harnais, S., L.F. McMahon, Jr., R.T. Wroblewski, and A.J. Hogan. “Measuring Hospital Performance: The Development and Validation of Risk-Adjusted Indexes of Mortality, Readmissions, and Complications.” Medical Care 28 (1990): 1127-41.
30. Donabedian, A. “Evaluating the Quality of Medical Care.” Milbank Memorial Fund Quarterly 44, no. 3, part 2 (1966): 166-203.
31. Donabedian, A. The Definition of Quality and Approaches to its Assessment. Vol. 1: Explorations in Quality Assessment and Monitoring. Ann Arbor: Health Administration Press, 1980.
32. Donabedian, A. “Continuity and Change in the Quest for Quality.” Clinical Performance and Quality Health Care 1, no. 1 (1993): 9-16.
33. Donabedian, A., J.R.C. Wheeler, and L. Wyszewianski. “Quality, Cost, and Health: An Integrative Model.” Medical Care 20, no. 10 (1982): 975-992.
34. Dranove, D. “A Comment on ‘Does Practice Make Perfect?’.” Medical Care 22, no. 10 (1984): 967.
35. Dranove, D., and W.D. White. “Agency and the Organization of Health Care.” Inquiry 24, no. 4 (1987): 405-415.
36. Dyck, F.J., F.A. Murphy, J.K. Murphy, D.A. Road, M.S. Boyd, E. Osborne, D. DeVlieger, B. Korchinski, C. Ripley, A.J. Bromley, and P.B. Innes. “The Effect of Surveillance on the Number of Hysterectomies in the Province of Saskatchewan.” The New England Journal of Medicine 296, no. 23 (1977): 1326-28.
37. Eisenberg, J.M. Doctors' Decisions and the Cost of Medical Care: The Reasons for Doctors' Practice and Ways to Change Them. Ann Arbor: Health Administration Press Perspectives, 1986.
38. Eisenberg, J.M., and A. Kabcenell. “Organized Practice and the Quality of Medical Care.” Inquiry 25, no. 1 (1988): 78-89.
39. Ellwood, P.H., Jr. “When MDs meet DRGs.” Hospital 57, no. 24 (1983): 62-66.
40. Enthoven, A.C. Health Plan: The Only Practical Solution to the Soaring Cost of Medical Care. Menlo Park, CA: Addison-Wesley Publishing Company, 1980.
41. Enthoven, A.C. “Managed Competition.” Health Affairs 12 (1993): 24-48.
42. Ermann, D., and J. Gabel. “Multihospital Systems: Issues and Empirical Findings.” Health Affairs 3, no. 1 (1984): 50-64.
43. Fama, E.F. “Agency Problems and the Theory of the Firm.” Journal of Political Economy 88, no. 2 (1980): 288-307.
44. Feldman, R., J. Kralewski, and B. Dowd. Health Maintenance Organizations: The Beginning or the End? Health Services Research 24, no. 2 (June 1989): 191-211.
45. Feldstein, P.J., T.M. Wickizer, and J.R. Wheeler. “Private Cost Containment: The Effects of Utilization Review Programs on Health Care Use and Expenditures.” The New England Journal of Medicine 318, no. 20 (1988): 1310-14.
46. Fennell, M.L. “The Effects of Environmental Characteristics on the Structure of Hospital Clusters.” Administrative Science Quarterly 25, no. 3 (1980): 485-510.
47. Fennell, M.L., and J.A. Alexander. “Organizational Boundary Spanning in Institutionalized Environments.” Academy of Management Journal 30 (September 1987): 456-476.
48. Fennell, M.L., and J.A. Alexander. “Governing Boards and Profound Organizational Change in Hospitals.” Medical Care Review 46, no. 2 (Summer 1989): 157-187.
49. Fennell, M.L., and J.A. Alexander. “Perspectives on Organizational Change in the U.S. Medical Care Sector.” In Annual Review of Sociology, edited by J. Blake and J. Hagan. Palo Alto, CA: vol. 19, 1993, pp. 89-112.
50. Fetter, R.B., R.E. Mills, D.C. Riedel, and J.D. Thompson. “The Application of Diagnostic Specific Cost Profiles to Cost and Reimbursement Control in Hospitals.” Journal of Medical Systems 1, no. 2 (1977): 137-149.
51. Fifer, W.R. “Integrating Quality Assurance Mechanisms.” In Organization and Change in Health Care Quality Assurance, edited by R. D. Luke, J. C. Krueger, and R. E. Modrow. Rockville, MD: Aspen Publications, 1983, pp. 217-230.
52. Fleming, G.V. “Hospital Structure and Consumer Satisfaction.” Health Services Research 16, no. 1 (Spring 1981): 43-64.
53. Flood, A.B. “Peaks and Pits of Using Large Data Bases to Measure Quality of Care.” International Journal of Technology Assessment in Health Care 6, no. 2 (1990): 253-262.
54. Flood, A.B., A. Fremont, E. Goodrick, K. Jin, and C. White. Sociological Approaches to Examining Resource Use in Managed Care. In Primary Care Research: Theory and Methods, edited by H. Hibbard, P. A. Nutting, M. L. Grady. Rockville, MD: Agency for Health Care Policy and Research, 1991, pp. 127-138.
55. Flood, A.B., A. Fremont, E. Goodrick, and R. Parker, Jr. “Organizational Culture, Financial Incentives, and Performance: Variation in Ambulatory Care Setting.” Paper presented at annual meetings of the Association for Health Services Research, Washington, DC, June 1990.
56. Flood, A.B., and W.R. Scott. “Processional Power and Professional Effectiveness: The Power of the Surgical Staff and the Quality of Surgical Care in Hospitals.” Journal of Health and Social Behavior 19, no. 3 (1978): 240-254.
57. Flood, A.B., W.R. Scott, and Associates. Hospital Structure and Performance. Baltimore, MD: Johns Hopkins University Press, 1987.
58. Flood, A.B., W.R. Scott, and W. Ewy. “Does Practice Make Perfect? Part I: The Relation between Hospital Volume and Outcomes for Selected Diagnostic Categories.” Medical Care 22, no. 2 (1984a): 98-114.
59. Flood, A.B., W.R. Scott, and W. Ewy. “Does Practice Make Perfect? Part II: The Relation between Volume and Outcomes and Other Hospital Characteristics.” Medical Care 22 (1984b): 115-125.
60. Folland, S., and M. Stano. “Small Area Variations: A Critical Review of Propositions, Methods, and Evidence.” Medical Care Review 47, no. 3 (Fall 1990): 419-465.
61. Forrest, Jr., W.H. Personal communication, 1974.
62. Freidson, E. Profession of Medicine: A Study of the Sociology of Applied Knowledge. New York: Dodd, Mead and Company, 1978.
63. Freidson, E. Professional Powers. Chicago: University of Chicago Press, 1986.
64. Freidson, E., and B. Rhea. “Processes of Control in a Company of Equals.” Social Problems 11 (1963): 119-131.
65. Friedman, B., and S. Shortell. The Financial Performance of Selected Investor-Owned and Not-For-Profit System Hospitals before and after Medicare Prospective Payment. Health Services Research 23, no. 2 (June 1988): 237-267.
66. Garber, A.M., V.R. Fuchs, and J.F. Silverman. “Casemix, Costs and Outcomes: Difference between Faculty and Community Services in a University Hospital.” The New England Journal of Medicine 310, no. 19 (1984): 1231-37.
67. Georgopoulos, B.S., and F.C. Mann. The Community General Hospital. New York: Macmillan, 1962.
68. Ginn, G.O. “Strategic Change in Hospitals: An Examination of the Response of the Acute Care Hospital to the Turbulent Environment of the 1980s.” Health Services Research 25, no. 5 (December 1990): 565-591.
69. Goss, M.E.W. “Organization Goals and Quality of Medical Care: Evidence from Comparative Research on Hospitals.” Journal of Health and Social Behavior 11, no. 4 (1970): 255-268.
70. Gray, B. H. (ed.). For-Profit Enterprise in Health Care. Washington, DC: National Academy Press, 1986.
71. Gustafson, D.H., F.C. Sainfort, R. Van Konigsveld, and D.R. Zimmerman. “The Quality Assessment Index (QAI) for Measuring Nursing Home Quality.” Health Services Research 25, no. 1, Part 1 (April 1990): 97-127.
72. Hall, M.A. “Institutional Control of Physician Behavior: Legal Barriers to Health Care Cost Containment.” University of Pennsylvania Law Review 137 (1988): 431-536.
73. Halloran, E.J., and M. Kiley. “Nursing Dependency, Diagnosis-Related Groups, and Lengths of Hospital Stay.” Health Care Financing Review 8, no. 1 (1987): 27-36.
74. Hannan, E.L., J.F. O'Donnell, H. Kilburn, Jr., H.R. Bernard, and A. Yazici. “Investigation of the Relationship between Volume and Mortality for Surgical Procedures Performed in New York State Hospitals.” Journal of the American Medical Association 262 (1989): 503-510.
75. Health Care Financing Administration (HCFA). Medicare Hospital Mortality Information. Washington, DC: Government Printing Office, 1986.
76. Heatherington, R.W. “Quality Assurance and Organizational Effectiveness in Hospitals.” Health Services Research 17, no. 2 (Summer 1982): 185-201.
77. Herzlinger, R.E., and W.S. Krasker. “Who Profits from Nonprofits?” Harvard Business Review (January-February 1987): 93-106.
78. Heydebrand, W.V. Hospital Bureaucracy: A Comparative Study of Organizations. New York: Dunellen Press, 1973.
79. Hillman, A.L. “Financial Incentives for Physicians in HMOs.” The New England Journal of Medicine 317, no. 1 (1987): 1743- 48.
80. Hillman, A.L., M.V. Pauly, and J.J. Kerstein. “How Do Financial Incentives Affect Physicians' Clinical Decisions and the Financial Performance of Health Maintenance Organizations? ” The New England Journal of Medicine 321 (1989): 86-92.
81. Horn, S.D. “Measuring Severity of Illness: Comparisons across Institutions.” American Journal of Public Health 73, no. 1 (1983): 25-31.
82. Horn, S.D., G. Bukely, P.D. Sharkey, A.F. Chambers, R.A. Horn, and C.J. Schramm. “Interhospital Differences in the Severity of Illness: Problems for Prospective Payment Based on Diagnosis-Related Groups (DRGs.” The New England Journal of Medicine 313, no. 1 (1985): 20-24.
83. Hyman, D., and J. Williamson. “Fraud and Abuse: Setting the Limits on Physicians' Entrepreneurship.” The New England Journal of Medicine 320, no. 19 (1989): 1275-78.
84. Institute of Medicine. Assessing Medical Technologies. Washington, DC: The National Academy of Sciences Press, 1985.
85. Jessee, W.F. Quality Assurance Systems: Why Aren't There Any? Quality Review Bulletin 10, no. 12 (1984): 408-411.
86. Joint Commission for Accreditation of Healthcare Organizations. The Joint Commission's Agenda for Change. Chicago: Joint Commission for Accreditation of Healthcare Organizations, 1986.
87. Kahn, K.L., E.B. Keeler, M.J. Sherwood, W.H. Rogers, D. Draper, S.S. Bentow, E.J. Reinisch, L.V. Rubenstein, J. Kind, “Quality Assurance in the Ambulatory Setting.” In Innovations in Health Care Quality Measurement, edited by P. L. Spath. Chicago: American Hospital Publishing, Inc., 1987, pp. 113-127.
88. Kahn, K.L., J. Kosecoff, M.R. Chassin, M. Flynn, A. Fink, N. Pattaphongse, D.H. Solomon, and R.H. Brook. Measuring the Clinical Appropriateness of the Use of a Procedure: Can We Do It? Medical Care 26, no. 4 (1988): 415-422.
89. Kaye, R. “Quality Assurance—A Strategy for Planned Change.” In Organization and Change in Health Care Quality Assurance, edited by R. D. Luke, J. C. Krueger, and R. E. Modrow. Rockville, MD: Aspen Publications, 1983, 157-169.
90. Keeler, E.B., K.L. Kahn, D. Draper, M.J. Sherwood, L.V. Rubenstein, E.J. Reinisch, J. Kosecoff, and R.H. Brook. “Changes in Sickness at Admission following the Introduction of the Prospective Payment System.” Journal of the American Medical Association 264, no. 15 (1990): 1962-1968.
91. Keller, R.B., A.M. Chapin, and D.N. Soule. “Informed Inquiry into Practice Variations: The Maine Medical Assessment Foundation.” Quality Assurance in Health Care 2, no. 1 (1990): 69-75.
92. Keller, R.B., D.N. Soule, J.E. Wennberg, and D.F. Hanley. “Dealing with Geographic Variations in the Use of Hospitals: The Experience of the Maine Medical Assessment Foundation Orthopedic Study Group.” Journal of Bone and Joint Surgery 72-A (1990): 1286-93.
93. Kelly, J.V. “What Do Mortality Studies Reveal about Hospital Volume, Teaching Status, and Ownership?” International Journal of Technology Assessment in Health Care 6, no. 2 (1990): 239-252.
94. Kelly, J.V., and F.J. Hellinger. “Physician and Hospital Factors Associated with Mortality of Surgical Patients.” Medical Care 24, no. 9 (1986): 785-800.
95. Kind, E.A., J. Fowles, and C.E. McCoy. “Effectiveness of the Primary Profile in Changing Physician Practice Styles.” Paper presented at the American Medical Review Research Center Annual Meetings, Washington, DC, September 1987.
96. Knaus, W.A., E.A. Draper, D.P. Wagner, and J.E. Zimmerman. “An Evaluation of Outcome from Intensive Care in a Major Medical Center.” Annals of Internal Medicine 104, no. 3 (1986): 410-418.
97. Kohl, S.G. Prenatal Mortality in New York City. Cambridge, MA: Harvard University Press, 1955.
98. Komaroff, A.L. “Quality Assurance in 1984.” Medical Care 23, no. 5 (1985): 723-738.
99. Konrad, T.R., and G.H. DeFriese. “The Impact of Financial and Organizational Changes on Primary Care.” In Conference Proceedings: Primary Care Research: An Agenda for the 90s, edited by J. Mayfield and M. L. Grady. Rockville. MD: Agency for Health Care Policy and Research, 1990.
100. Kornfeld, D.S. “The Hospital Environment: Its Impact on the Patient.” In Coping with Physical Illness, edited by R. H. Moos. New York: Plenum Medical Book Company, 1977, pp. 237-249.
101. Krakauer, H. “Current Uses of Large Data Sets to Assess Technologies.” Presentation to Conference on Measuring Health Care Effectiveness: The Use of Large Data Sets for Technology Assessment and Quality Assessment. Washington, DC, September 1989.
102. Kramer, A.M., P.W. Shaughnessy, M.K. Bauman, and K.S. Crisler. “Assessing and Assuring the Quality of Home Health Care: A Conceptual Framework.” The Milbank Memorial Fund Quarterly 68, no. 3 (1990): 413-443.
103. Kusserow, R.P. Financial Arrangements between Physicians and Health Care Businesses: Report to Congress. Publication No. OAI-12-88-01410. Office of Inspector General, Office of Analysis and Inspections, Department of Health and Human Services, Washington, DC, 1989.
104. Lee, J.A.H., S.L. Morrison, and J.N. Morris. “Fatality from Three Common Surgical Conditions in Teaching and Nonteaching Hospitals.” The Lancet (1957): 785-790.
105. Lewin, L.S., T.J. Eckels, and C.B. Miller. “Setting the Record Straight. The Provision of Uncompensated Care by Not-For-Profit Hospitals.” The New England Journal of Medicine 318, no. 18 (1988): 1212-15.
106. Lipworth, L., J.A.H. Lee, and J.N. Morris. “Case-Fatality in Teaching and Non-Teaching Hospitals 1956-69.” Medical Care 1, no. 1 (1963): 71-76.
107. Lohr, K.N., K.D. Yordy, and S.O. Thier. “Current Issues in Quality of Care.” Health Affairs 7, no. 1 (1988): 5-18.
108. Longest, B.B., Jr. “The Relation between Coordination, Efficiency, and Quality of Care in General Hospitals.” Hospital Administration 19, no. 1 (1974): 65-86.
109. Luft, H.S. “Assessing the Evidence on HMO Performance.” Milbank Memorial Fund Quarterly 58, no. 4 (1980): 501-536.
110. Luft, H.S., J.P. Bunker, and A.C. Enthoven. “Should Operations Be Regionalized ? The Empirical Relation between Surgical Volume and Mortality.” The New England Journal of Medicine 301, no. 25 (1979): 1364-69.
111. Luft, H.S., D.W. Granick, D.H. Mark, and S.J. McPhee. Hospital Volume, Physician Volume, and Patient Outcomes: Assessing the Evidence. Ann Arbor, MI: Health Administration Press, 1990.
112. Luft, H.S., S.S. Hunt, and S.C. Maerki. “The Volume-Outcome Relationship: Practice Makes Perfect or Selective Referral Patterns?” Health Services Research 22, no. 2 (June 1987): 157-182.
113. Luke, R.D., and W. Boss. “Barriers Limiting the Implementation of Quality Assurance Programs.” In Organization and Change in Health Care Quality Assurance, edited by R. D. Luke, J. C. Krueger, and R. E. Modrow. Rockville, MD: Aspen Publications, 1983, 147-155.
114. Luke, R D., J. C. Krueger, and R. E. Modrow (eds.). Organization and Change in Health Care Quality Assurance. Rockville, MD: Aspen Publications, 1983.
115. Maerki, S.C., H.S. Luft, and S.S. Hunt. “Selecting Categories of Patients for Regionalization: Implications of the Relationship between Volume and Outcome.” Medical Care 24, no. 2 (1986): 148-158.
116. Marmor, T.R., M. Schlesinger, and R.W. Smithey. “A New Look at Nonprofits: Health Care Policy in a Competitive Age.” Yale Journal on Regulation 3, no. 2 (1986): 313-349.
117. Marshall, M.A., and S. Perry. Centers of Excellence: A Definition and Policy Proposal. Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. Contract Number (DHHS) 100-88-0029, February 1990.
118. McCarthy, E.G., and C.W. Widmer. “The Effects of Screening by Consultants on Recommended Elective Surgical Procedures.” The New England Journal of Medicine 291, no. 1 (1974): 13-31.
119. McCloskey, J.C. “Nursing Education and Job Effectiveness.” Nursing Research 32, no. 1 (1983): 53-58.
120. McCloskey, J.C., and B. McCain. “Nurse Performance: Strengths and Weaknesses.” Nursing Research 37, no. 5 (1988): 308-313.
121. McCoy, C.E., E.A. Kind, J. Fowles, and E.S. Schned. “Measuring Quality in an HMO: The Primary Care Practice Profile.” In Managing Quality Health Care in a Dynamic Era. Washington, DC: The Group Health Association of America, Inc., 1987, pp. 112-117.
122. Meyer, J.W., and B. Rowan. “Institutional Organizations: Formal Structure as Myth and Ceremony.” American Journal of Sociology 83, no. 2 (1977): 340-363.
123. Meyer, J., W.R. Scott, and T. Deal. Institutional and Technical Sources of Organizational Structure: Explaining the Structure of Educational Organizations. In Organization and the Human Services: Cross Disciplinary Reflections, edited by H. Stein. Philadelphia: Temple University Press, 1981, pp. 103-116.
124. Millman, M. “Medical Mortality Review: A Cordial Affair.” In The Unkindest Cut: Life in the Backrooms of Medicine. New York: William Morrow and Co., Inc., 1977, pp. 96-119.
125. Money, W.H., D.P. Gilfillan, and R. Duncan. “A Comparative Study of Multi-Unit Health Care Organizations.” In Organizational Research in Hospitals, edited by S. Shortell and M. Brown. Chicago: Inquiry Book, Blue Cross Association, 1976, pp. 29-61.
126. Morse, E.V., G. Gordon, and M. Moch. “Hospital Costs and Quality of Care: An Organizational Perspective.” Milbank Memorial Fund Quarterly 52, no. 3 (1974): 315-346.
127. Moseley, S.K., and R.M. Grimes. “The Organization of Effective Hospitals.” Health Care Management Review 1, no. 1 (1976): 13-23.
128. Nerenz, D.R., and B.M. Zajac. Indicators of Performance for Vertically Integrated Health Systems: Final Report of 1990 Ray Woodham Visiting Fellowship. Detroit, MI: Center for Health System Studies, Henry Ford Health System, 1991.
129. Park, R.E., A. Fink, R.H. Brook, et al. “Physician Ratings of Appropriate Indications for Six Medical and Surgical Procedures.” American Journal of Public Health 76 (1986): 766.
130. Pashos, C.L., and B.J. McNeil. “Consequences of Variation in Treatment for Acute Myocardial Infarction.” Health Services Research 25, no. 5 (December 1990): 717-722.
131. Pattison, R.V., and H.M. Katz. “Investor-Owned and Not-For-Profit Hospitals: A Comparison Based on California Data.” The New England Journal of Medicine 309, no. 6 (1983): 347-353.
132. Pauly, M.V., A.L. Hillman, and J. Kerstein. “Managing Physician Incentives in Managed Care: The Role of For-Profit Ownership.” Medical Care 28 (1990): 1013-24.
133. Payne, B.C., and T.F. Lyons. The Episode of Illness Method of Evaluation and Improving Personal Medical Care Quality. Ann Arbor: University of Michigan School of Medicine, 1972.
134. Payne, B.C., T.F. Lyons, and E. Neuhaus. “Relationships of Physician Characteristics to Performance Quality and Improvement.” Health Services Research 19, no. 3 (August 1984): 307-332.
135. Povar, G., and J. Moreno. “Hippocrates and the Health Maintenance Organization.” Annals of Internal Medicine 109, no. 5 (1988): 419-424.
136. Price, J.L., and C.W. Mueller. “A Causal Model of Turnover for Nurses.” Academy of Management Journal 24 (September 1981): 543-565.
137. Rhee, S.O. “Factors Determining the Quality of Physician Performance in Patient Care.” Medical Care 14, no. 9 (1976): 733-750.
138. Rhee, S.O. “Relative Importance of Physicians' Personal and Situational Characteristics for the Quality of Patient Care.” Journal of Health and Social Behavior 18, no. 1 (1978): 10-15.
139. Rhee, S.O., R.D. Luke, and M.B. Culverwell. “Influence of Client/Colleague Dependence on Physician Performance in Patient Care.” Medical Care 18, no. 8 (1980): 829-841.
140. Rhee, S.O., R.D. Luke, T.F. Lyons, and B. Payne. “Domain of Practice and the Quality of Physician Performance.” Medical Care 19 (1981): 14-23.
141. Roberts, J.S. “Peer Review and Continuous Quality Improvement.” In Bridging the Gap between Theory and Practice. Chicago: Hospital Research and Educational Trust, 1992, 33-54.
142. Roemer, M.I., and J.W. Friedman. Doctors in Hospitals: Medical Staff Organization and Hospital Performance. Baltimore, MD: Johns Hopkins University Press, 1971.
143. Rogers, W.H., D. Draper, K.L. Kahn, E.B. Keeler, L.V. Rubenstein, J. Kosecoff, and R.H. Brook. “Quality of Care before and after Implementation of the DRG-Based Prospective Payment System.” Journal of the American Medical Association 264, no. 15 (1990): 1989-94.
144. Roos, L.L., N.P. Roos, and S.M. Sharp. “Monitoring Adverse Outcomes of Surgery Using Administrative Data.” Health Care Financing Review Annual Supplement (1987): 5-16.
145. Roos, N.P. “Hysterectomy: Variations in Rates across Small Areas and across Physicians' Practices.” American Journal of Public Health 74, no. 4 (1984): 327-335.
146. Roos, N.P., G. Flowerdew, A. Wajda, and R.B. Tate. “Variations in Physicians' Hospitalization Practices: A Population-Based Study in Manitoba, Canada.” American Journal of Public Health 761, no. 1 (1986): 45-51.
147. Roos, N.P., and L.L. Roos. “High and Low Surgical Rates: Risk Factors for Area Residents.” American Journal of Public Health 71, no. 6 (1981): 591-600.
148. Roos, N.P., J.E. Wennberg, D.J. Malenka, E.S. Fisher, K. McPherson, T.F. Andersen, M.M. Cohen, and E. Ramsey. “Mortality and Reoperation after Open and Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia.” The New England Journal of Medicine 320, no. 16 (1989): 1120-24.
149. Roper, W.L., and G.M. Hackbarth. “HCFA's Agenda for Promoting High-Quality Care.” Health Affairs 7, no. 1 (1988): 91-98.
150. Rosen, H.M., and W. Feigin. “Medical Peer Review and Information Management: The Deadend Phenomenon.” Health Care Management Review 7, no. 1 (1982): 59-66.
151. Rubin, H.R. “Can Patients Evaluate the Quality of Hospital Care?” Medical Care Review 47, no. 3 (Fall 1990): 267-326.
152. Sahney, V.K. “Implementation, Observed Barriers, and Management of Continuous Quality Improvement (CQI.” In Bridging the Gap between Theory and Practice: Exploring Continuous Quality Improvement. Chicago: Hospital Research and Educational Trust, 1992.
153. Salive, M.E., J.A. Mayfield, and N.W. Weissman. “Patient Outcomes Research Teams and the Agency for Health Care Policy and Research.” Health Services Research 25, no. 5 (December 1990): 697-708.
154. Schein, E.H. Organizational Culture and Leadership: A Dynamic View. San Francisco: Jossey-Bass Publishers, 1985.
155. Schlesinger, M., and Robert Dorward. “Ownership and Mental Health Services.” The New England Journal of Medicine 311, no. 15 (1985): 959-965.
156. Schnelle, J.F., D.R. Newman, and T. Fogarty. “Statistical Quality Control in Nursing Homes: Assessment and Management of Chronic Urinary Incontinence.” Health Services Research 25, no. 5 (December 1990): 627-637.
157. Schoonhoven, C.B. “Problems with Contingency Theory: Testing Assumptions Hidden within the Language of Contingency ‘theory’.” Administration Science Quarterly 26, no. 3 (1981): 349-377.
158. Scott, W.R. Organizations: Rational, Natural, and Open Systems. Englewood Cliffs, NJ: Prentice-Hall, 1981.
159. Scott, W.R. “Managing Professional Work: Three Models of Control for Health Organizations.” Health Services Research 17, no. 2 (June 1982): 213-240.
160. Scott, W.R. “Professionals in Hospitals: Technology and the Organization of Work.” In Organization Research on Health Institutions, edited by B. S. Georgopoulos. Ann Arbor: University of Michigan Institute for Social Research, 1972, pp. 139-158.
161. Scott, W.R., W.H. Forrest, Jr., and B.W. Brown, Jr. “Hospital Structure and Postoperative Mortality and Morbidity.” In Organizational Research in Hospitals, edited by S. M. Shortell and M. Brown. Chicago: Blue Cross Association, Inquiry Book, 1976, pp. 72-89.
162. Seligmann J., and L. Buckley. “A Sickroom with a View.” Newsweek, 26 March 1990.
163. Shanahan, M. The Quality Assurance Standard of the JCAH: A Rational Approach to Patient Care Evaluation. In Organization and Change in Health Care Quality Assurance, edited by R. D. Luke, J. C. Krueger, and R. E. Modrow. Rockville, MD: Aspen Publications, 1983, pp. 21-37.
164. Sharp, K. “Organizational Determinants of Quality Surgical Care.” Ph.D. diss., University of Illinois at Urbana-Champaign, 1986.
165. Shaughnessy, P.W., R.E. Schlenker, and A.M. Kramer. “Quality of Long-Term Care in Nursing Homes and Swing-Bed Hospitals.” Health Services Research 25, no. 1 (April 1990): 65-96.
166. Shortell, S.M. “Physician Involvement in Hospital Decision Making.” In The New Health Care for Profit: Doctors and Hospitals in a Competitive Environment, edited by B. H. Gray. Washington, DC: National Academy Press, 1983, pp. 73-101.
167. Shortell, S.M. “The Evolution of Hospital Systems: Unfulfilled Promises and Self-Fulfilling Prophesies.” Medical Care Review 45, no. 2 (Summer 1988): 177-214.
168. Shortell, S., and E.F.X. Hughes. “The Effects of Regulation, Competition, and Ownership on Mortality Rates among Hospital Inpatients.” The New England Journal of Medicine 318, no. 17 (1988): 1100-1107.
169. Shortell, S.M., and J.P. LoGerfo. “Hospital Medical Staff Organization and Quality of Care: Results for Myocardial Infarction and Appendectomy.” Medical Care 19, no. 10 (1981): 1041-55.
170. Shortell, S.M., S.W. Becker, and D. Neuhauser. “The Effects of Management Practices on Hospital Efficiency and Quality of Care.” In Organizational Research in Hospitals, edited by S. M. Shortell and M. Brown. Chicago: Blue Cross Association, Inquiry Book, 1976, pp. 90-112.
171. Shortell, S.M., E.M. Morrison, and B. Friedman. Strategic Choices for America's Hospitals: Managing Change in Turbulent Times. San Francisco: Jossey-Bass, 1990.
172. Shortell, S.M., E.M. Morrison, S.L. Hughes, B. Friedman, J. Coverdill, and L. Berg. “The Effects of Hospital Ownership on Nontraditional Services.” Health Affairs 5, no. 1 (1986): 97-111.
173. Shortell, S.M., E.M. Morrison, S.L. Hughes, B.S. Friedman, and J.L. Vitek. “Diversification of Health Care Services: The Effects of Ownership, Environment and Strategy.” In Advances in Health Economics and Health Services Research, Vol. 7. Greenwich, CT: JAI Press, 1987, pp. 3-40.
174. Shortell, S.M., D.M. Rousseau, R.R. Gillies, K.J. Devers, and T.L. Simons. “Organizational Assessment in Intensive Care Units: Construct Development, Reliability, and Validity of the ICU Nurse-Physician Questionnaire.” Medical Care 29, no. 8 (1991): 709-723.
175. Shortell, S.M., D.M. Rousseau, E.F.X. Hughes, and R.R. Gillies. Examining the Quality of Care in Intensive Care. Grant No. 18-C-99054/3-01: Final report to Agency for Health Care Policy and Research. Evanston, IL: Northwestern University, 1991.
176. Showstack, J.A., K.E. Rosenfeld, D.W. Garnick, H.S. Luft, R.W. Schaffarzick, and J. Fowles. “Association of Volume with Outcome of Coronary Artery Bypass Graft Surgery.” Journal of the American Medical Association 257, no. 6 (1987): 785-789.
177. Sloan, F.A., R.D. Feldman, and A.B. Steinwald. “Effects of Teaching on Hospital Costs.” Journal of Health Economics 2, no. 1 (1983): 1-28.
178. Sloan, F.A., J.M. Perrin, and F. Valvona. “In-Hospital Mortality of Surgical Patients: Is There an Empirical Basis for Standard Setting?” Surgery 99, no. 4 (1986): 446-453.
179. Sommers, L.S., R. Sholtz, R.M. Shepherd, and D.B. Starkweather. “Physician Involvement in Quality Assurance.” Medical Care 22, no. 12 (1984): 1115-38.
180. Starkweather, D.B. Hospital Mergers in the Making. Ann Arbor, MI: Health Administration Press, 1981.
181. Steinberg, E.P., and 12-Member Interdisciplinary Team. “Variations in Cataract Management: Patient and Economic Outcomes.” Health Services Research 25, no. 6 (February 1990): 727-731.
182. Taft, S.H. “Cultural Pluralism in Professional Organizations: Processes of Transition and Change.” Working paper. Cleveland, OH: Case Western Reserve University, 1987.
183. Tolbert, P.S. “Institutional Sources of Organizational Culture.” In Institutional Patterns and Organizations, edited by L. Zucker. Cambridge, MA: Ballinger Publishing Co., 1988, pp. 101-113.
184. Treat, T.F. “The Performance of Merging Hospitals.” Medical Care 14, no. 3 (1976): 199-209.
185. Trussell, R.E., J. Ehrlich, and M. Morehead. The Quantity. Quality and Costs of Medical and Hospital Care Secured by a Sample of Teamster Families in the New York Area. Report prepared for Teamsters Joint Council No. 16 and Management Hospitalization Trust Fund. New York: Columbia University School of Public Health and Administration Medicine, 1962.
186. U.S. Congress. Office of Technology Assessment. The Quality of Medical Care: Information for Consumers. Publication No. OTA-H-386. Washington, DC: Government Printing Office, 1988.
187. U.S. Congress. General Accounting Office. Medicare: Improving Quality of Care Assessment and Assurance: Report to the Chairman. Subcommittee on Health, Committee on Ways and Means. House of Representatives. Publication No. GAO/PEMD-88-10. Washington, DC: General Accounting Office, 1988.
188. Vuori, H. “Optimal and Logical Quality: Two Neglected Aspects of Quality of Health Services.” Medical Care 18, no. 10 (1980): 975-985.
189. Weiner, J.P., N.R. Powe, D.M. Steinwachs, and G. Dent. “Applying Insurance Claims Data to Assess Quality of Care: A Compilation of Potential Indicators.” Quality Review Bulletin 16, no. 12 (1990): 424-438.
190. Weisman, C.S., C.S. Alexander, and G.A. Chase. “Determinants of Hospital Staff Nurse Turnover.” Medical Care 19, no. 4 (1981): 431-443.
191. Welch, W.P., A.L. Hillman, and M.V. Pauly. “Toward New Typologies for HMOs.” The Milbank Memorial Fund Quarterly 68, no. 2 (1990): 221-243.
192. Wells, K.B., W.G. Manning, Jr., and R.B. Valdez. “The Effects of a Prepaid Group Practice on Mental Health Outcomes.” Health Services Research 25, no. 5 (December 1990): 615-625.
193. Wennberg, J.E. “On Patient Need, Equity, Supplier-Induced Demand, and the Need to Assess the Outcome of Common Medical Practices.” Medical Care 23, no. 5 (1985): 512-520.
194. Wennberg, J.E. “Small Area Analysis and the Medical Care Outcome Problem.” In Conference Proceedings. Research Methodology: Strengthening Causal Interpretations of Nonexperimental Data, edited by L. Sechrest, E. Perrin, and J. Bunker. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. Agency for Health Care Policy and Research, 1990, pp. 177-206.
195. Wennberg, J.E. “Improving the Medical Decision-Making Process.” Health Affairs 7 (1988): 99-106.
196. Wennberg, J.E., B.A. Barnes, and M. Zubkoff. “Professional Uncertainty and the Problem of Supplier-Induced Demand.” Social Science and Medicine 16, no. 7 (1982): 811-824.
197. Wennberg, J.E., L. Blowers, P. Parker, and A.M. Gittelsohn. “Changes in Tonsillectomy Rates Associated with Feedback and Review.” Pediatrics 59, no. 6 (1977): 821-826.
198. Wennberg, J.E., J.L. Freeman, and W.J. Culp. Are Hospitalized Services Rationed in New Haven or Over-Utilized in Boston? The Lancet (1987): 1185-89.
199. Wennberg, J., and A. Gittelsohn. “Variations in Medical Care among Small Areas.” Scientific American 246, no. 4 (1982): 120-134.
200. Wennberg, J.E., N. Roos, L. Sola, A. Schori, and R. Jaffe. “Use of Claims Data Systems to Evaluate Health Care Outcomes.” Journal of the American Medical Association 257, no. 7 (1987): 933-936.
201. Wheeler, J.R.C., and T.M. Wickizer. “Relating Health Care Market Characteristics to the Effectiveness of Utilization Review Programs.” Inquiry 27, no. 4 (1990): 344-351.
202. Williamson, J.M. “Future Policy Directions for Quality Assurance: Lessons from the Health Accounting Experience.” Inquiry 25 (Spring 1988): 67-77.
203. Winslow, C.M., J.B. Kosecoff, M. Chassin, D.E. Kanouse, and R.H. Brook. “The Appropriateness of Performing Coronary Artery Bypass Surgery.” Journal of the American Medical Association 260, no. 4 (1988): 505-509.
204. Woodward, R.S., and F. Warren-Boulton. “Considering the Effects of Financial Incentives and Professional Ethics on ‘Appropriate’ Medical Care.” Journal of Health Economics 3, no. 3 (1984): 223-237.
205. Wyszewianski, L., J.R.C. Wheeler, and A. Donabedian. “Market-Oriented Cost Containment Strategies and Quality of Care.” Milbank Memorial Fund Quarterly: Health and Society 60, no. 4 (1982): 518-550.
206. Yergan, J., A.B. Flood, J.P. LoGerfo, and P. Diehr. “Relationship between Patient Race and the Intensity of Hospital Services.” Medical Care 25, no. 7 (1987): 592-603.
207. Zuckerman, H.S. “Multi-Institutional Systems: Their Promise and Performance.” In Multi-Institutional Hospital Systems, edited by H. Zuckerman and L. E. Weeks. Chicago: Hospital Research and Educational Trust, 1979, pp. 3-51.