CEO perceptions of competition and strategic response in hospital markets

Medical Care Research and Review

Volumn 58, Issue 2, 2001, Pages 162-193

  Alexander, Jeffrey A ^a   Burns, Lawton R ^b   Morrisey, Michael A ^c   Johnson, Victoria ^c  

^a UNIVERSITY OF MICHIGAN   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMPETITION; COST EFFECTIVENESS ANALYSIS; DECISION MAKING; ENVIRONMENTAL FACTOR; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HOSPITAL ADMINISTRATOR; MANAGED CARE; ORGANIZATION; PREDICTION;

ATTITUDE OF HEALTH PERSONNEL; CHIEF EXECUTIVE OFFICERS, HOSPITAL; COST-BENEFIT ANALYSIS; DECISION MAKING, ORGANIZATIONAL; ECONOMIC COMPETITION; FACTOR ANALYSIS, STATISTICAL; HEALTH CARE SURVEYS; HOSPITAL ADMINISTRATION; HOSPITAL PLANNING; HOSPITAL-PHYSICIAN JOINT VENTURES; HUMANS; MANAGED CARE PROGRAMS; MARKETING OF HEALTH SERVICES; MODELS, ECONOMETRIC; QUALITY OF HEALTH CARE; REGRESSION ANALYSIS; UNITED STATES;

EID: 0035000034     PISSN: 10775587     EISSN: None     Source Type: Journal    
DOI: 10.1177/107755870105800202     Document Type: Article

References (72)

1. Alexander, J. A., L. R. Burns, H. S. Zuckerman, T. Vaughn, R. Anderson, P. Torrens, and D. Hilberman. 1996. An exploratory analysis of market-based physician-organization arrangements. Hospital and Health Services Administration 41 (3): 311-29.
2. Alexander, J. A., M. Morrisey, and S. Shortell. 1986. The effects of regulation, competition and corporatization on hospital-physician relationships. Journal of Health and Social Behavior 27 (3): 220-35.
3. Alexander, J. A., and W. R. Scott. 1984. The impact of regulation on hospital administrative structure: Toward an analytic framework. Hospital and Health Services Administration 29 (3): 71-85.
4. Alexander, J. A., T. E. Vaughn, L. R. Burns, H. S. Zuckerman, R. Anderson, P. Torrens, and D. Hilberman. 1996. Organizational approaches to integrated healthcare delivery. Medical Care Research and Review 53 (1): 71-93.
5. Bamezai, A., J. Zwanziger, G. A. Melnick, and J. M. Mann. 1999. Price competition and hospital cost growth in the United States (1989-1994). Health Economics 8:233-43.
6. Blair, J. D., and M. D. Fottler. 1998. Strategic leadership for medical groups. San Francisco: Jossey-Bass.
7. Blair, J. D., C. R. Slaton, and G. T. Savage. 1990. Hospital-physician joint venture: A strategic approach for both dimensions of success. Hospital and Health Services Administration 35 (1): 326-39.
8. Bluedorn, A. C., R. A. Johnson, D. K. Cartwright, and B. R. Barringer. 1994. The interface and convergence of the strategic management and organizational environment domains. Journal of Management 20 (2): 201-62.
9. Bolinger, J. E. 1999. Effective physician integration strategy. Health Care Strategic Management 17 (7): 18-20.
10. Bowman, C., and K. Daniels. 1995. The influence of functional experience on perceptions of strategic priorities. British Journal of Management 6 (3): 157-68.
11. Boyd, B. K., G. G. Dess, and A.M.A. Rasheed. 1993. Divergence between archival and perceptual measures of the environment: Causes and consequences. Academy of Management Review 18 (2): 204-23.
12. Boyd, B. K., and J. Fulk. 1996. Executive scanning and perceived uncertainty: A multidimensional model. Journal of Management 22 (spring): 1-21.
13. Burns, L. R. 1999. Polarity management: The key challenge for integrated health systems. Journal of Healthcare Management 44:14-31.
14. Burns, L. R., G. J. Bazzoli, L. Dynan, and D. R. Wholey. 1997. Managed care, market stages, and integrated delivery systems: Is there a relationship? Health Affairs 1 (6): 204-18.
15. _. 2000. Impact of HMO market structure on physician-hospital alliances. Health Services Research 35 (1): 101-32.
16. Burns, L. R., T. Connolly, and R. DeGraaff. 1999. The impact of physicians' perceptions of malpractice and adaptive changes on intentions to cease obstetrical practice. Journal of Rural Health 15 (2): 134-46.
17. Burns, L., M. Morrisey, and J. Alexander. 1998. Managed care and processes to integrate physicians and hospitals. Health Care Management Review 23 (4): 70-80.
18. Burns, L. R., S. M. Shortell, and R. M. Andersen. 1998. Does familiarity breed contentment? Attitudes and behaviors of integrated physicians. In Research in the sociology of health care, edited by J. Kronenfeld, vol. 15. Greenwich, CT: JAI Press.
19. Burns, L. R., and D. P. Thorpe. 1995. Managed care and integrated healthcare. In Health care management: Managed care, edited by H. Jolt, 101-8. Philadelphia: Hanley-Belfus.
20. Burns, L. R., and D. R. Wholey. 1992. Factors affecting physician loyalty and exit: A longitudinal analysis of physician-hospital relationships. Health Services Research 27 (1): 1-24.
21. _. 2000. Responding to a consolidating healthcare system: Options for physician organizations. In The future of integrated delivery systems, edited by J. Blair, 261-323. Greenwich, CT: JAI Press.
22. Calori, R., G. Johnson, and P. Sarnin. 1994. CEOs' cognitive maps and the scope of the organization. Strategic Management Journal 15:437-57.
23. Child, J. 1972. Organizational structure, environment, and performance: The role of strategic choice. Sociology 6:1-22.
24. Conrad, D. A., and S. M. Shortell. 1996. Integrated health systems: Promise and performance. Frontiers of Health Services Management 13 (1): 3-40.
25. Daniels, K., G. Johnson, and L. De Chernatony. 1994. Differences in managerial cognitions of competition. British Journal of Management 5:S21-29.
26. De Chernatony, L., K. Daniels, and G. Johnson. 1993. A cognitive perspective on managers' perceptions of competition. Journal of Marketing Management 9:373-81.
27. Denison, D. R., J. E. Dutton, J. A. Kahn, and S. L. Hart. 1996. Organizational context and the interpretation of strategic issues: A note on CEOs' interpretations of foreign investment. Journal of Management Studies 33 (4): 453-74.
28. DiMaggio, P., and W. W. Powell. 1984. The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields. American Sociological Review 48:147-60.
29. Feldman, R., H.-C. Chan, J. Kralewski, B. Dowd, and J. Shapiro. 1990. Effects of HMOs on the creation of competitive markets for hospital services. Journal of Health Economics 9 (2): 207-22.
30. Fombrun, C., and E. Zajac. 1987. Structural and perceptual influences on intraindustry stratification. Academy of Management Journal 30 (1): 33-50.
31. Friend, P. M., and S. Meighan. 1994. Driving forces behind integration: Weigh your options. Healthcare Executive 9 (3): 12-15.
32. Glandon, G. L., and M. A. Morrisey. 1986. Redefining the hospital-physician relationship under prospective payment. Inquiry 23:166-75.
33. Gregory, D. 1992. Strategic alliances between physicians and hospitals in multi-hospital systems. Hospital and Health Services Administration 37 (2): 247-58.
34. Hagen, A. F., and S. G. Amin. 1995. Corporate executives and environmental scanning activities: An empirical investigation. SAM Advanced Management Journal 60 (2): 41-47.
35. Hodgkinson, G. P. 1997. The cognitive analysis of competitive structures: A review and critique. Human Relations 50 (6): 625-54.
36. Hodgkinson, G. P., and G. Johnson. 1994. Exploring mental models of competitive strategies: The case for a processual approach. Journal of Management Studies 31:525-51.
37. Jaklevic, M. C. 1996. PHOs: A popular managed care strategy. Modern Healthcare 26 (6): 33-34.
38. Kennedy, P. 1998. A guide to econometrics. 4th ed. Cambridge, MA: MIT Press.
39. Kurtz, M. E. 1987. Role of the physician as manager. Physical Medicine and Rehabilitation: State of the Art Reviews 1 (2): 185-96.
40. Melnick, G. A., J. Zwanziger, A. Bamezai, and R. Pattison. 1992. The effects of market structure and bargaining position on hospital prices. Journal of Health Economics 11 (3): 217-33.
41. Melone, N. P. 1994. Reasoning in the executive suite: The influence of role/experience-based expertise on decision processes of corporate executives. Organization Science 5 (3): 438-55.
42. Morrisey, M. A. 1994. Cost shifting in health care. Washington, DC: AEI Press.
43. Morrisey, M. A., J. A. Alexander, L. R. Burns, and V. Johnson. 1996. Managed care and physician/hospital integration. Health Affairs 15 (4): 62-73.
44. _.1999. The effects of managed care on physician and clinical integration. Medical Care 37 (4): 350-61.
45. Nystrom, P.C. 1994. Departmental affiliation and selective perceptions of competitive strategies. International Journal of Management 11 (4): 865-70.
46. Ocasio, W. 1995. The enactment of economic diversity: A reconciliation of theories of failure-induced change and threat rigidity. Research in Organizational Behavior 17:287-331.
47. Porac, J. F., H. Thomas, and C. Baden-Fuller. 1989. Competitive groups as cognitive communities: The case of Scottish knitwear manufacturers. Journal of Management Studies 26 (4): 397-416.
48. Priem, R. L. 1994. Executive judgment, organizational congruence, and firm performance. Organization Science 5 (3): 421-37.
49. Prospective Payment Assessment Commission. 1995. Hospital-physician relations: A national survey of hospital chief executive officers and chiefs of medical staff. Intramural Report I-95-02. Washington, DC: Author.
50. Rice, T. 1997. Physician payment policies: Impacts and implications. Annual Review of Public Health 18:549-65.
51. Robinson, J. R. 1997. Physician-hospital integration and the economic theory of the firm. Medical Care Research and Review 54 (1): 13-24.
52. Robinson, J. R., and L. P. Casalino. 1996. Vertical integration and organizational networks in health care. Health Affairs 15 (1): 7-22.
53. Rousseau, D. M. 1998. Why workers still won't identify with organizations. Journal of Organizational Behavior 19:217-33.
54. Scott, W. R. 1995. Institutions and organizations. Thousand Oaks, CA: Sage.
55. Shortell, S. M. 1991. Effective hospital-physician relationships. Ann Arbor, MI: Health Administration Press.
56. Shortell, S. M., R. R. Gillies, D. A. Anderson, K. M. Erickson, and J. B. Mitchell. 1996. Remaking health care in America. San Francisco: Jossey-Bass.
57. Shortell, S. M., and E. J. Zajac. 1990. Perceptual and archival measures of Miles and Snow's strategic types: A comprehensive assessment of reliability and validity. Academy of Management Journal 33 (4): 817-32.
58. Simon, C. J., W. D. White, P. Born, and D. Dranove. 1996. Managed care and the physician marketplace. In Managed care and changing health care markets, edited by M. A. Morrisey, 95-120. Washington, DC: AEI Press.
59. Smircich, L., and C. Stubbart. 1985. Strategic management in an enacted world. Academy of Management Review 10 (4): 724-36.
60. Smith, H. L., R. A. Reid, and N. F. Piland. 1990. Managing hospital-physician relations: A strategy scorecard. Health Care Management Review 15 (4): 23-33.
61. Sparrow, P. R. 1994. The psychology of strategic management: Emerging themes of diversity and cognition. International Review of Industrial and Organizational Psychology 9:147-81.
62. Steers, R. M. 1977. Antecedents and outcomes of organizational commitment. Administrative Science Quarterly 22:46-56.
63. Stigler, G. 1968. The measurement of concentration. In The organization of industry, edited by G. Stigler, 29-38. Homewood, IL: Richard D. Irwin.
64. Thomas, J. B., and R. R. McDaniel, Jr. 1990. Interpreting strategic issues: Effects of strategy and the information-processing structure of top management teams. Academy of Management Journal 33 (2): 286-306.
65. Thomas, J. B., R. R. McDaniel, Jr., and R. A. Anderson. 1991. Hospitals as interpretation systems. Health Services Research 25 (6): 859-80.
66. Tyler, B. B., and H. K. Steensma. 1998. The effects of executives' experiences and perceptions on their assessment of potential technological alliances. Strategic Management Journal 19 (10): 939-65.
67. Walsh, J. P. 1995. Managerial and organizational cognition: Notes from a trip down memory lane. Organization Science 6 (3): 280-321.
68. Weick, K. 1979. The social psychology of organizing. 2d ed. Reading, MA: Addison-Wesley.
69. Wholey, D. R., R. Feldman, and J. L. Christianson. 1995. The effects of market structure on HMO premiums. Journal of Health Economics 14 (1): 81-106.
70. Wolinsky, F. D., and W. D. Marder. 1985. The organization of medical practice and the practice of medicine. Ann Arbor, MI: Health Administration Press.
71. Zahra, S. A., and S. S. Chaples. 1993. Blind spots in competitive analysis. Academy of Management Executive 7 (2): 7-28.
72. Zwanziger, J., and A. Meirowitz. 1998. Strategic factors in hospital selection for HMO and PPO networks. In Managed care and changing health care markets, edited by M. A. Morrisey, 77-94. Washington, DC: AEI Press.