Institutional Change and Healthcare Organizations: From Professional Dominance to Managed Care

Paperback | April 19, 2000

byW. Richard Scott

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Few large institutions have changed as fully and dramatically as the U.S. healthcare system since World War II. Compared to the 1930s, healthcare now incorporates a variety of new technologies, service-delivery arrangements, financing mechanisms, and underlying sets of organizing principles.

This book examines the transformations that have occurred in medical care systems in the San Francisco Bay area since 1945. The authors describe these changes in detail and relate them to both the sociodemographic trends in the Bay Area and to shifts in regulatory systems and policy environments at local, state, and national levels. But this is more than a social history; the authors employ a variety of theoretical perspectives—including strategic management, population ecology, and institutional theory—to examine five types of healthcare organizations through quantitative data analysis and illustrative case studies.

Providing a thorough account of changes for one of the nation's leading metropolitan areas in health service innovation, this book is a landmark in the theory of organizations and in the history of healthcare systems.

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From Our Editors

This specialized study by a team of sociology professors – W. Richard Scott, Martin Ruef, Peter J. Mendel and Carol A. Caronna -- examines transformations in the medical care systems in the San Francisco Bay area since 1945. Institutional Change and Healthcare Organizations From Professional Dominance to Managed Care describes thes...

From the Publisher

Few large institutions have changed as fully and dramatically as the U.S. healthcare system since World War II. Compared to the 1930s, healthcare now incorporates a variety of new technologies, service-delivery arrangements, financing mechanisms, and underlying sets of organizing principles.This book examines the transformations that h...

Format:PaperbackDimensions:452 pages, 9 × 6 × 1.2 inPublished:April 19, 2000Publisher:University Of Chicago PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0226743101

ISBN - 13:9780226743103

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Extra Content

Table of Contents

List of Figures and Tables
List of Case Illustrations
Preface
Acknowledgments
1. A World in Transition1
2. The Case of the San Francisco Bay Area: Focal Populations and Organizations
3. Changing Healthcare Delivery Systems
4. Processes Shaping Organizational Populations: Ecological and Adaptive Change
5. Resource Environments and Organizational Dynamics
6. The Changing Institutional Environment
7. Institutional Environments and Organizational Legitimacy
8. Horizontal, Vertical, and Virtual Integration of Healthcare Organizations
9. Institutional Environments and the Organizational Field
10. Institutional Change and Structuration Processes
App. A. Data Sources for Organizational Populations
App. B. A Supplemental Data and Analyses
App. C Quantitative Methodology
Glossary of Abbreviations and Acronyms
References
Index

From Our Editors

This specialized study by a team of sociology professors – W. Richard Scott, Martin Ruef, Peter J. Mendel and Carol A. Caronna -- examines transformations in the medical care systems in the San Francisco Bay area since 1945. Institutional Change and Healthcare Organizations From Professional Dominance to Managed Care describes these changes in detail and relates them to the larger picture of what is going on in regulatory systems and policy environments at state and national levels.