Effect of Hospital Conversion on Organizational Decision Making and Service Coordination

Health Care Management Review--April/June 2003
Vol. 28, No. 2
April/June 2003
Anderson, R.A., Allred, C.A., and F.A. Sloan
pp. 141-54

This study looks into the "black box" of hospital ownership conversion in a "natural experiment." The researchers posed two competing theories about how conversion might influence management practices. Results support complexity theory and not threat-rigidity theory. As predicted from complexity theory, MDs and RNs had greater levels of participation and influence over final decision choices in converted hospitals than in nonconverted hospitals.

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