Downsizing and Financial Performance in Rural Hospitals

Health Care Management Review

Volumn 21, Issue 2, 1996, Pages 16-25

  Mick, Stephen S ^a   Wise, Christopher G ^b  

^a UNIVERSITY OF MICHIGAN   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

Downsizing; Financial performance; Hospitals; Rural

Indexed keywords

ARTICLE; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH SERVICES RESEARCH; HOSPITAL; HOSPITAL ORGANIZATION; HUMAN; INCOME; METHODOLOGY; ORGANIZATION AND MANAGEMENT; QUESTIONNAIRE; REGRESSION ANALYSIS; STATISTICS; UNITED STATES;

EFFICIENCY, ORGANIZATIONAL; FINANCIAL MANAGEMENT, HOSPITAL; HEALTH SERVICES RESEARCH; HOSPITAL RESTRUCTURING; HOSPITALS, RURAL; HUMANS; INCOME; QUESTIONNAIRES; REGRESSION ANALYSIS; UNITED STATES;

EID: 0030090049     PISSN: 03616274     EISSN: None     Source Type: Journal    
DOI: 10.1097/00004010-199605000-00003     Document Type: Article

References (31)

1. Congressional Budget Office. Rural Hospitals and Medicare's Prospective Payment System. Washington, DC: Congressional Budget Office, 1991.
2. Ermann, D.A. "Rural Health Care: The Future of the Hospital." Medical Care Review 47 (1990): 33-73.
3. Merlis, M. Rural Hospitals: CRS Report for Congress (89-296 EPW). Washington, DC: The Library of Congress, 1989.
4. Mick, S.S., and Morlock, L.L. "America's Rural Hospitals: A Selective Review of 1980s Research." Journal of Rural Health 6 (1990): 437-66.
5. Moscovice, I. "A Literature Synthesis and Health Services Agenda." Health Services Research 23 (1989): 892-930.
6. U.S. Congress, Office of Technology Assessment. Health Care in Rural America. (OTA-H-434). Washington, DC: U.S. Government Printing Office, 1990.
7. Kimberly, J.R., and Zajac, E.J. "Strategic Adaptation in Health Care Organizations: Implications for Theory and Research." Medical Care Review 42 (1985): 267-302.
8. Shortell, S.M., Morrison, E.M., and Robbins, S. "Strategy Making in Health Care Organizations: A Framework and Agenda for Research." Medical Care Review 42 (1985): 219-66.
9. Tomasko, R.M. Downsizing: Reshaping the Corporation for the Future. New York: AMACOM, American Management Association, 1987.
10. Cascio, W.F. "Downsizing? What Do We Know? What Have We Learned?" Academy of Management Executive 7 (1993): 95-104.
11. Freeman, S.J., and Cameron, K.S. "Organizational Downsizing: A Convergence and Reorientation Framework." Organizational Science 4 (1993): 10-29.
12. Buada L., Pomeranz, W., and Rosenberg, S. Laying the Groundwork: Planning for Change: Rural Hospitals: Strategies for Survival. Kansas City, MO: National Rural Health Association, 1985.
13. Thompson, J.D. Organizations in Action: Social Science Bases of Administrative Theory. New York: McGraw-Hill, 1967.
14. Miles, R.W., and Snow, C.C. Organization Strategy, Structure, and Process. New York: McGraw-Hill, 1978.
15. Pfeffer, J., and Salancik, G.R. The External Control of Organizations: A Resource Dependence Perspective. New York: Harper & Row, 1978.
16. Aldrich, H.E. Organizations and Environments. Englewood Cliffs, NJ: Prentice-Hall, 1979.
17. Cook, K., Shortell, S.M., Conrad, D.A., and Morrisey, M.A. "A Theory of Organizational Response to Regulation: The Case of Hospitals." Academy of Management Review 8 (1983): 193-205.
18. Shortell, S.M., Morrison, E.M., and Friedman, B. Strategic Choices for America's Hospitals: Managing Change in Turbulent Times. San Francisco: Jossey-Bass, 1990.
19. Ginn, G.O., and Young, G.L. "Organizational and Environmental Determinants of Hospital Strategy." Health & Hospital Services Administration 37 (1992): 291-302.
20. Gapenski, L.C., Vogel, W.B., and Langland-Orban, V. "The Determinants of Hospital Profitability." Health & Hospital Services Administration 38 (1993): 63-80.
21. Mick, S.S., Morlock, L.L., Salkever, D., de Lissovoy, G. et al. "Horizontal and Vertical Integration-Diversification in Rural Hospitals: A National Study of Strategic Activity, 1983-1988." Journal of Rural Health 9 (1993a): 99-119.
22. Morrisey, M.A., Sloan, F.A., and Valvona, J. "Defining Geographic Markets for Hospital Care." Law and Contemporary Problems 51 (1988): 165-94.
23. Choat, G.M., and Tanaka K. "Using Financial Ratio Analysis to Compare Hospitals' Performance," Hospital Progress (December 1979): 43-58.
24. Cleverley, W.O. Hospital Industry Financial Report, 1984-1988. Westchester, IL: Healthcare Financial Management Association, 1988.
25. Deakin, E.B. "Distributions of Financial Accounting Ratios: Some Empirical Evidence." The Account Review (January 1976): 90-96.
26. Lee, C.-W.J. "Stochastic Properties of Cross-Sectional Financial Data." Journal of Accounting Research 23 (1985): 213-27.
27. Frecka, T.J., and Hopwood, W.S. "The Effects of Outli ers on the Cross-Sectional Distributional Properties of Financial Ratios." The Accounting Review 53 (1983): 115-28.
28. Prospective Payment Assessment Commission. Rural Hospitals Under Medicare's Prospective Payment System. Washington, DC: Government Printing Office, Congressional Report, C-91-03, 1991.
29. Wise, C.G. Factors Influencing Rural Hospital Affiliation with Multihospital Systems. University of Michigan: Unpublished Doctoral Dissertation, 1993.
30. Mick, S.S., Morlock, L.L., Salkever, D., de Lissovoy, G., et al. "Rural Hospital-Based Alcohol and Chemical Dependency Services: Availability and Adoption, 1983-1988." Journal of Studies on Alcohol 54 (1993b): 488-501.
31. Mick, S.S., Morlock, L.L., Salkever, D., de Lissovoy, G., et al. "Strategic Activity and Financial Performance of U.S. Rural Hospitals: A National Study, 1983-88." Journal of Rural Health 10 (1994): 150-67.