Zinn Jacqueline S, Mor Vincent, Feng Zhanlian, Intrator Orna
Fox School of Business and Management, Temple University, 413 Ritter Annex, Philadelphia, PA 19122, USA.
Health Serv Res. 2007 Jun;42(3 Pt 1):1200-18. doi: 10.1111/j.1475-6773.2006.00649.x.
To test the hypothesis that a greater commitment to strategic adaptation, as exhibited by more extensive implementation of a subacute/rehabilitation care strategy in nursing homes, will be associated with superior performance.
Online Survey, Certification, and Reporting (OSCAR) data from 1997 to 2004, and the area resource file (ARF).
The extent of strategic adaptation was measured by an aggregate weighted implementation score. Nursing home performance was measured by occupancy rate and two measures of payer mix. We conducted multivariate regression analyses using a cross-sectional time series generalized estimating equation (GEE) model to examine the effect of nursing home strategic implementation on each of the three performance measures, controlling for market and organizational characteristics that could influence nursing home performance. DATA COLLECTION/ABSTRACTION METHODS: OSCAR data was merged with relevant ARF data.
The results of our analysis provide strong support for the hypothesis.
From a theoretical perspective, our findings confirm that organizations that adjust strategies and structures to better fit environmental demands achieve superior performance. From a managerial perspective, these results support the importance of proactive strategic leadership in the nursing home industry.
检验以下假设，即在疗养院更广泛地实施亚急性/康复护理策略所体现出的对战略适应的更大投入，将与卓越的绩效相关联。
1997年至2004年的在线调查、认证和报告（OSCAR）数据，以及区域资源文件（ARF）。
战略适应程度通过综合加权实施得分来衡量。疗养院绩效通过入住率和两种支付方组合指标来衡量。我们使用横断面时间序列广义估计方程（GEE）模型进行多元回归分析，以检验疗养院战略实施对这三项绩效指标中每一项的影响，同时控制可能影响疗养院绩效的市场和组织特征。数据收集/提取方法：OSCAR数据与相关的ARF数据合并。
我们的分析结果为该假设提供了有力支持。
从理论角度来看，我们的研究结果证实，那些调整战略和结构以更好地适应环境需求的组织能够取得卓越绩效。从管理角度来看，这些结果支持了疗养院行业中积极主动的战略领导力的重要性。
