Alexander J A, Morrisey M A
Department of Health Services Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109-2029.
Health Serv Res. 1989 Jun;24(2):259-84.
This study empirically examines the determinants of hospital entry into management contracts with multihospital systems. Using a resource-dependence framework, the study tests whether market conditions, regulatory climate, management effectiveness, and certain enabling factors affect the probability of hospital entry into a contract management arrangement. The study used a pooled sample of 312 contract-managed and 936 traditionally managed hospitals. Results suggest the importance of management effectiveness, regulatory climate, and hospital ownership (investor owned or nonprofit) as predisposing conditions of contract management.
本研究实证检验了医院与多医院系统签订管理合同的决定因素。该研究采用资源依赖框架，检验市场条件、监管环境、管理有效性以及某些促成因素是否会影响医院签订合同管理安排的可能性。该研究使用了一个由312家合同管理医院和936家传统管理医院组成的混合样本。结果表明，管理有效性、监管环境以及医院所有权（投资者所有或非营利性）作为合同管理的 predisposing 条件具有重要意义。 （注：“predisposing”在医学语境中可能不太常见，这里按原样保留，推测可能是“前置的、预先存在的”之类含义，但准确意思需结合更专业的医学背景确定）
