A longitudinal analysis of the distinction between for-profit and not-for-profit hospitals in America
A longitudinal analysis of the distinction between for-profit and not-for-profit hospitals in America
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DOI：
10.2307/3090225
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发表时间：
2001-03-01
影响因子：
5
通讯作者：
Potter, SJ
中科院分区：
文献类型：
--
作者：
Potter, SJ
医院行业的变化是否迫使非营利性医院在效率和社区服务方面变得更像营利性医院？因此，非营利性医院是否会放弃其社区服务使命？近年来，研究人员断言，非营利性医院和营利性医院之间一度显着的区别正在迅速消失，这种趋同威胁到非营利性医院历来提供的社区服务。新制度主义者解释说，监管变化常常迫使不同类型的组织采取类似的策略（Fligstein 1991、1985；DiMaggio 和 Powell 1983）。在这一理论的指导下，本研究分析了监管变化和类似策略的实施是否会导致非营利性和营利性医院具有相似的效率和社区服务成果。
Have changes in the hospital industry forced not-for-profit hospitals to become more like for profit hospitals in measures of efficiency and community service? As a result, are not-for-profit hospitals moving away from their community service missions? In recent years researchers have asserted that the once-salient distinctions between not-for-profit and for profit hospitals are quickly eroding and that this convergence threatens the community service that not-for-profit hospitals have historically provided. Neo-institutionalists explain that regulatory changes often force differing organization types to pursue similar strategies (Fligstein 1991, 1985; DiMaggio and Powell 1983). Guided by this theory, the present research analyzes if regulatory changes and the implementation of similar strategies result in not-for-profit and for profit hospitals having similar efficiency and community service outcomes.