English, Article, Journal or magazine article edition: Modeling Internal Decision Making Process: An Explanation of Conflicting Empirical Results on Behavior of Nonprofit and For-Profit Hospitals Carroll, Kathleen; Ruseski, Jane

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Physical Description
  • preprint
Language
  • English

Edition details

Title
  • Modeling Internal Decision Making Process: An Explanation of Conflicting Empirical Results on Behavior of Nonprofit and For-Profit Hospitals
Author
  • Carroll, Kathleen
  • Ruseski, Jane
Physical Description
  • preprint
Notes
  • This paper develops multiobjective models of hospital decision making that incorporate the internal decision process in both a for-profit and a nonprofit hospital. Predicted output and quality for a nonprofit hospital differ from those for a for-profit hospital under some conditions but converge under others. Convergence may be the result of a complex internal decision structure with decision control primarily by physicians; similar objectives across different organizational forms; or differing constraints. The mechanisms underlying these outcomes provide explanations for conflicting result in empirical studies of nonprofit and for-profit hospitals and provide a different rationale for convergence than nonprofit response to competition from for-profit hospitals. Understanding the source of convergence is important for policies directed toward the tax treatment of nonproift hospitals.
  • hospital behavior; hospital ownership; internal decision making; physician-hospital relations
  • RePEc:ris:albaec:2009_023
Language
  • English
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