Institutional Change and Healthcare Organizations: From Professional Dominance to Managed Care

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W. Richard Scott
University of Chicago Press, May 1, 2000 - Medical - 427 pages
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Few large institutions have changed as fully and dramatically as the U.S. healthcare system since World War II. Compared to the 1930s, healthcare now incorporates a variety of new technologies, service-delivery arrangements, financing mechanisms, and underlying sets of organizing principles.

This book examines the transformations that have occurred in medical care systems in the San Francisco Bay area since 1945. The authors describe these changes in detail and relate them to both the sociodemographic trends in the Bay Area and to shifts in regulatory systems and policy environments at local, state, and national levels. But this is more than a social history; the authors employ a variety of theoretical perspectives—including strategic management, population ecology, and institutional theory—to examine five types of healthcare organizations through quantitative data analysis and illustrative case studies.

Providing a thorough account of changes for one of the nation's leading metropolitan areas in health service innovation, this book is a landmark in the theory of organizations and in the history of healthcare systems.
  

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Contents

V
1
VI
2
VII
5
VIII
24
IX
28
X
32
XI
36
XII
49
XXXIII
237
XXXIV
258
XXXV
263
XXXVI
265
XXXVII
267
XXXVIII
287
XXXIX
296
XL
308

XIII
51
XIV
55
XV
57
XVI
62
XVII
69
XVIII
95
XIX
96
XX
97
XXI
109
XXII
119
XXIII
121
XXIV
124
XXV
130
XXVI
148
XXVII
164
XXVIII
166
XXIX
167
XXX
175
XXXI
234
XXXII
236
XLI
312
XLII
324
XLIII
329
XLIV
337
XLV
340
XLVI
345
XLVII
346
XLVIII
358
XLIX
363
L
365
LI
367
LII
368
LIII
373
LIV
374
LV
375
LVI
376
LVII
379
LVIII
383
LIX
419
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About the author (2000)

W. Richard Scott is professor emeritus of sociology at Stanford University. He is the author of Organizations: Rational, Natural and Open Systems and Institutions and Organizations, and is a former editor of Annual Review of Sociology.

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