2005
DOI: 10.1097/00004010-200510000-00008
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Is It Resources, Habit or Both

Abstract: The 1983 Tax Equity and Fiscal Responsibility Act (TEFRA) transformed acute care from a benevolent to malevolent environment. A dual-paradigm of resource dependency and institutional theories that balances isomorphic with economic variables has emerged to better explain hospital strategic response to the resultant constraint on resources than a traditional single paradigm approach. Using the population of non-rural, non-federal acute-care hospitals, strategic response from 1982 to 2001 is studied; distinct cos… Show more

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Cited by 16 publications
(3 citation statements)
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“…Regarding long-term financial performance, this study found the Resource Dependence Theory-based operationalized variables showed significance with the dimensions of munificence and uncertainty of the external environment. The regression results confirm prior findings about significant relationship between hospital's performance and population of the metropolitan statistical area [32], the level of unemployment rate change [40], system affiliation [41], and teaching intensity [16].…”
Section: Discussionsupporting
confidence: 84%
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“…Regarding long-term financial performance, this study found the Resource Dependence Theory-based operationalized variables showed significance with the dimensions of munificence and uncertainty of the external environment. The regression results confirm prior findings about significant relationship between hospital's performance and population of the metropolitan statistical area [32], the level of unemployment rate change [40], system affiliation [41], and teaching intensity [16].…”
Section: Discussionsupporting
confidence: 84%
“…The RDT dimension of complexity can be operationalized through the independent variable called the Herfindahl-Hirschman Index (HHI), which is a commonly accepted measure of market competition [30,31]. HHI measures the amount of competition among firms in a particular market and is the sum of all facilities' squared market share [32]. HHI in this study was calculated based upon the metropolitan statistical area (MSA) where the major teaching hospital is located instead of at the county level since major teaching hospitals serve a broader community in the MSA [32].…”
Section: Operationalization Of Independent Variablesmentioning
confidence: 99%
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