+ Site Statistics
References:
52,572,879
Abstracts:
28,705,754
PMIDs:
27,750,366
DOIs:
25,464,004
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The financial performance of hospitals belonging to health networks and systems



The financial performance of hospitals belonging to health networks and systems



Inquiry 37(3): 234-252



The U.S. health industry is experiencing substantial restructuring through ownership consolidation and development of new forms of interorganizational relationships. Using an established taxonomy of health networks and systems, this paper develops and tests four hypotheses related to hospital financial performance. Consistent with our predictions, we find that hospitals in health systems that had unified ownership generally had better financial performance than hospitals in contractually based health networks. Among health network hospitals, those belonging to highly centralized networks had better financial performance than those belonging to more decentralized networks. However, health system hospitals in moderately centralized systems performed better than those in highly centralized systems. Finally, hospitals in networks or systems with little differentiation or centralization experienced the poorest financial performance. These results are consistent with resource dependence, transaction cost economics, and institutional theories of organizational behavior, and provide a conceptual and empirical baseline for future research.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 047644510

Download citation: RISBibTeXText

PMID: 11111282

DOI: 10.2307/29772899


Related references

The role of non-financial performance measures in predicting hospital financial performance: the case of for-profit system hospitals. Journal of Health Care Finance 38(2): 12-23, 2012

Financial performance of safety-net hospitals in a changing health care environment. Health Services Management Research 9(3): 156-171, 1996

Assessing the effect of standardized cost systems on financial performance. A difference-in-differences approach for hospitals according to their technological level. Health Policy 122(4): 396-403, 2018

Whom do they serve? Community responsiveness among hospitals affiliated with health systems and networks. Medical Care 41(1): 165-179, 2003

Whom Do They Serve?: Community Responsiveness among Hospitals Affiliated with Health Systems and Networks. Medical Care 41(1): 165-179, 2003

A preliminary assessment of financial stability, efficiency, health systems and health outcomes using performance-based contracts in Belize. Global Public Health 8(9): 1063-1074, 2014

Fewer alternatives? Ancillary businesses become less of a focus for some hospitals and health systems, but they still fill a niche, and many organizations see financial, operational advantages. Modern Healthcare 41(26): 26, 28, 30, 2011

Effects of specialty hospitals on the financial performance of general hospitals, 1997-2004. Inquiry 44(3): 321-334, 2007

Expanding the scope of health information systems - from hospitals to regional networks, to national infrastructures, and beyond. Methods of Information in Medicine 46(4): 500-502, 2007

Effects of Specialty Hospitals on The Financial Performance of General Hospitals, 19972004. Inquiry 44(3): 321-334, 2007

CASE STUDIES IN PRICE TRANSPARENCY. Leading hospitals and health systems recognize that enhancing their patient financial communications can boost consumer satisfaction, loyalty and even the bottom line. Healthcare Executive 30(6): 30-4, 36, 38, 2016

The Relationship between Health Information Technology Laboratory Tracking Systems and Hospital Financial Performance and Quality. Hospital Topics 97(3): 99-106, 2019

Using Harm-Based Weights for the AHRQ Patient Safety for Selected Indicators Composite (PSI-90): Does It Affect Assessment of Hospital Performance and Financial Penalties in Veterans Health Administration Hospitals?. Health Services Research 51(6): 2140-2157, 2017

Hospitals redefine their business. Competitive hospitals manage networks of relationships, not just buildings, with alternative delivery systems. Hospitals 58(3): 71-2, 74, 1984

Assessing the performance of imaging health systems in five selected hospitals in Uganda. Journal of Clinical Imaging Science 2: 12, 2012