| The dynamics of market-level change. | |
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MedLine Citation:
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PMID: 9159709 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Health care exhibits a competitive dynamic today that increasingly resembles that in other service industries. Organizations are becoming larger to achieve scale economies and to increase market power. Vertical integration, whether through ownership or complex contracts, is also being pursued both to seek efficiencies and to improve the bargaining position of the organization. External forces that are driving these changes include more aggressive activities on the part of purchasers to contain their costs, developments in information technology, management innovation in other service industries, and advances in medical technology. Within the health care industry, there is a pattern of organizations taking the initiative to respond to these external forces--often in anticipation of them--and other organizations then responding to the pressures in turn placed on them. Although information on strategies is communicated rapidly throughout the country, what is attempted and what succeeds differs a great deal across communities. The nature of current health care institutions in the community, including the presence of large entities with extensive capital and strong management in a particular segment of the health system and the community's experience with managed care are important factors in the path that change takes. |
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Authors:
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P B Ginsburg |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Journal of health politics, policy and law Volume: 22 ISSN: 0361-6878 ISO Abbreviation: J Health Polit Policy Law Publication Date: 1997 Apr |
Date Detail:
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Created Date: 1997-07-17 Completed Date: 1997-07-17 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7609331 Medline TA: J Health Polit Policy Law Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 363-82 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Delivery of Health Care, Integrated
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economics*,
organization & administration Economic Competition* Efficiency, Organizational Health Care Reform / economics* Health Facility Merger Health Policy Humans Managed Care Programs / organization & administration* Organizational Innovation Private Sector / economics Public Sector / economics United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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