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Health Care Manage Rev. 2003 Apr-Jun;28(2):141-54.

Effect of hospital conversion on organizational decision making and service coordination.

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  • 1School of Nursing, Duke University, Durham, North Carolina, USA.


This study looks into the "black box" of hospital ownership conversion in a "natural experiment." We 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.

[PubMed - indexed for MEDLINE]
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