US Health-Care Organizations: Complexity, Turbulence, and Multilevel Change
US Health-Care Organizations: Complexity, Turbulence, and Multilevel Change
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DOI：
10.1146/annurev.soc.012809.102612
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发表时间：
2011-01-01
期刊：
影响因子：
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通讯作者：
Adams, Crystal M.
中科院分区：
文献类型：
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作者：
Fennell, Mary L.;Adams, Crystal M.
本综述的重点是美国医疗保健组织的宏观组织变革，特别强调医疗保健组织环境的动荡变化。我们研究了几个用于研究医疗保健组织的当代理论（制度理论，复杂性理论和多层次方法）。这些理论和其他理论可能有助于制定强调20世纪90年代和21世纪第一个十年关键环境变化的调查，这些变化反过来又导致了医疗保健系统和宏观层面的变化结构。这些关键变化包括医疗保健技术的进步、医疗保健系统的变化，当然还有医疗保健政策的变化。
The focus of this review is macro-level organizational change in U.S. health-care organizations, with a special emphasis on turbulent changes in the environments of health-care organizations. We examine several contemporary theories used to study health-care organizations (institutional theory, complexity theory, and multilevel approaches). These and other theories may be helpful in framing investigations that emphasize key environmental changes of the 1990s and the first decade of the twenty-first century, which in turn have led to changes in health-care systems and macro-level structures. Those key changes include advances in health-care technologies, changes in the systems of care, and of course, changes in health-care policy.