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The effects of corporate restructuring on hospital policymaking.
Health Serv Res. 1988 Jun; 23(2):311-37.HS

Abstract

Hospital corporate restructuring is the segmentation of assets or functions of the hospital into separate corporations. While these functions are almost always legally separated from the hospital, their impact on hospital policymaking may be far more direct. This study examines the effects of corporate restructuring by community hospitals on the structure, composition, and activity of hospital governing boards. In general, we expect that the policymaking function of the hospital will change to adapt to the multicorporate structure implemented under corporate restructuring, as well as the overlapping boards and diversified business responsibilities of the new corporate entity. Specifically, we hypothesize that the hospital board under corporate restructuring will conform more to the "corporate" model found in the business/industrial sector and less to the "philanthropic" model common to most community hospitals to date. Analysis of survey data from 1,037 hospitals undergoing corporate restructuring from 1979-1985 and a comparison group of 1,883 noncorporately restructured hospitals suggests general support for this hypothesis. Implications for health care governance and research are discussed.

Authors+Show Affiliations

Department of Health Services Administration, University of Alabama, Birmingham 35294.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

3384671

Citation

Alexander, J A., et al. "The Effects of Corporate Restructuring On Hospital Policymaking." Health Services Research, vol. 23, no. 2, 1988, pp. 311-37.
Alexander JA, Morlock LL, Gifford BD. The effects of corporate restructuring on hospital policymaking. Health Serv Res. 1988;23(2):311-37.
Alexander, J. A., Morlock, L. L., & Gifford, B. D. (1988). The effects of corporate restructuring on hospital policymaking. Health Services Research, 23(2), 311-37.
Alexander JA, Morlock LL, Gifford BD. The Effects of Corporate Restructuring On Hospital Policymaking. Health Serv Res. 1988;23(2):311-37. PubMed PMID: 3384671.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of corporate restructuring on hospital policymaking. AU - Alexander,J A, AU - Morlock,L L, AU - Gifford,B D, PY - 1988/6/1/pubmed PY - 1988/6/1/medline PY - 1988/6/1/entrez SP - 311 EP - 37 JF - Health services research JO - Health Serv Res VL - 23 IS - 2 N2 - Hospital corporate restructuring is the segmentation of assets or functions of the hospital into separate corporations. While these functions are almost always legally separated from the hospital, their impact on hospital policymaking may be far more direct. This study examines the effects of corporate restructuring by community hospitals on the structure, composition, and activity of hospital governing boards. In general, we expect that the policymaking function of the hospital will change to adapt to the multicorporate structure implemented under corporate restructuring, as well as the overlapping boards and diversified business responsibilities of the new corporate entity. Specifically, we hypothesize that the hospital board under corporate restructuring will conform more to the "corporate" model found in the business/industrial sector and less to the "philanthropic" model common to most community hospitals to date. Analysis of survey data from 1,037 hospitals undergoing corporate restructuring from 1979-1985 and a comparison group of 1,883 noncorporately restructured hospitals suggests general support for this hypothesis. Implications for health care governance and research are discussed. SN - 0017-9124 UR - https://www.unboundmedicine.com/medline/citation/3384671/The_effects_of_corporate_restructuring_on_hospital_policymaking_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/3384671/ DB - PRIME DP - Unbound Medicine ER -