Physician-hospital integration and the economic theory of the firm

被引:63
作者
Robinson, JC
机构
[1] University of California, Berkeley, CA
关键词
D O I
10.1177/107755879705400101
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Physicians and hospitals are pioneering new and more coordinated organizational forms under pressure from market competition. Arms-length ''doctor's workshop'' relationships are yielding to integrated delivery systems and contractual delivery networks. This article analyzes organizational change in health care through the conceptual lens of institutional economics, defined broadly as including agency theory, transactions cost economics, and the dynamic capabilities view of the firm. These theoretical frameworks highlight three distinct functions of organization under managed care: coordination, governance, and innovation.
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页码:3 / 24
页数:22
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