Doing better to do good: the impact of strategic adaptation on nursing home performance.
Doing better to do good: the impact of strategic adaptation on nursing home performance.
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做得更好，行善：战略适应对疗养院绩效的影响。
DOI：
10.1111/j.1475-6773.2006.00649.x
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发表时间：
2007
影响因子：
3.4
通讯作者：
Intrator,Orna
中科院分区：
文献类型：
--
作者：
Zinn,JacquelineS;Mor,Vincent;Feng,Zhanlian;Intrator,Orna
目的：验证以下假设：在养老院更广泛地实施亚急性/康复护理战略，表明对战略适应的更大承诺将与卓越的业绩相关。数据来源：1997-2004年的在线调查、认证和报告(OSCAR)数据，以及区域资源文件(ARF)。研究设计。战略适应的程度通过综合加权实施得分来衡量。养老院的表现是通过入住率和付款人组合的两个衡量标准来衡量的。我们使用横截面时间序列广义估计方程(GEE)模型进行多元回归分析，以检验疗养院战略实施对三项绩效指标的影响，控制可能影响养老院绩效的市场和组织特征。数据收集/提取方法：OSCAR数据与相关ARF数据合并。主要发现：我们的分析结果为假设提供了强有力的支持。结论：从理论角度来看，我们的研究结果证实，组织调整战略和结构以更好地适应环境需求可以获得更好的绩效。从管理的角度来看，这些结果支持了养老院行业积极主动的战略领导的重要性。
Objective.To test the hypothesis that a greater commitment to strategic adaptation, as exhibited by more extensive implementation of a subacute/rehabilitation care strategy in nursing homes, will be associated with superior performance.Data Sources.Online Survey, Certification, and Reporting (OSCAR) data from 1997 to 2004, and the area resource file (ARF).Study Design.The extent of strategic adaptation was measured by an aggregate weighted implementation score. Nursing home performance was measured by occupancy rate and two measures of payer mix. We conducted multivariate regression analyses using a cross‐sectional time series generalized estimating equation (GEE) model to examine the effect of nursing home strategic implementation on each of the three performance measures, controlling for market and organizational characteristics that could influence nursing home performance.Data Collection/Abstraction Methods.OSCAR data was merged with relevant ARF data.Principal Findings.The results of our analysis provide strong support for the hypothesis.Conclusions.From a theoretical perspective, our findings confirm that organizations that adjust strategies and structures to better fit environmental demands achieve superior performance. From a managerial perspective, these results support the importance of proactive strategic leadership in the nursing home industry.
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作者：
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DOI：
10.1097/00115514-199911000-00009
发表时间：
1999
期刊：
Journal of healthcare management / American College of Healthcare Executives
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
ROSKO, MD;CHILINGERIAN, JA;AARONSON, WE
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