Department of Marketing, Industrial Distribution and Economics, University of Alabama at Birmingham, Alabama, USA.
J Healthc Manag. 2013 Sep-Oct;58(5):353-66; discussion 367-8.
This article reports on research studying the influence of environmental and organizational factors on the adoption of the magnet hospital concept. Although research has been reported on the adoption of innovations by healthcare organizations, research on factors influencing the adoption of administrative advances remains an important area to investigate. Logistic regression was used to determine both the significance and direction of the association of environmental and organizational factors with innovation adoption. In addition, the size and type of the hospitals in the sample was used as a control variable. It was found for environmental factors that environmental complexity and community resources were associated with innovation adoption and that competition and network externalities were not. For the organizational factors examined, it was found that organizational complexity and control of domain were associated with innovation adoption. Slack resources and external communications were not associated with adoption. The findings from this study contribute to healthcare management research by enhancing the understanding of the innovation adoption process. The results have important implications for both healthcare providers and policy makers.
本文报告了一项研究，该研究探讨了环境和组织因素对磁铁医院概念采用的影响。尽管已经有研究报道了医疗保健组织对创新的采用，但影响行政进步采用的因素的研究仍然是一个重要的研究领域。逻辑回归用于确定环境和组织因素与创新采用的关联的显著性和方向。此外，样本中医院的规模和类型被用作控制变量。结果发现，环境因素中环境复杂性和社区资源与创新采用相关，而竞争和网络外部性则不相关。对于所检查的组织因素，发现组织复杂性和领域控制与创新采用相关。备用资源和外部沟通与采用无关。这项研究的结果通过增强对创新采用过程的理解，为医疗保健管理研究做出了贡献。研究结果对医疗保健提供者和政策制定者都具有重要意义。
