Alexander J A, Lewis B L
Health Serv Res. 1984 Oct;19(4):461-77.
Despite the dramatic growth in hospital contract management in the last decade, research only recently has begun to provide insights into the structure, operation, and effectiveness of these arrangements. Two descriptive questions regarding hospital contract management are addressed in an effort to increase correspondence between theoretical and evaluative research in this area: (1) how do contract-managed hospitals differ from traditionally managed hospitals? and (2) how do contract-managed hospitals differ from each other? Principal discriminating variables in the analyses are hospital size, control, urban-rural location, region, management organization control, and management organization size. Results of the analysis on a sample of 406 contract-managed hospitals and 401 unaffiliated hospitals reveal important differences between contract-managed and traditionally managed hospitals as well as among contract management organizations. These findings are discussed in terms of their implications for future research and performance evaluations on contract management arrangements.
尽管在过去十年中医院合同管理有了显著增长，但直到最近研究才开始深入探讨这些管理模式的结构、运作和有效性。为了增强该领域理论研究与评估研究之间的对应性，本文探讨了两个关于医院合同管理的描述性问题：（1）合同管理医院与传统管理医院有何不同？（2）合同管理医院之间有何差异？分析中的主要区分变量包括医院规模、控制权、城乡位置、地区、管理组织控制权和管理组织规模。对406家合同管理医院和401家非附属医院样本的分析结果显示，合同管理医院与传统管理医院之间以及合同管理组织之间存在重要差异。本文将根据这些发现对合同管理模式未来研究和绩效评估的影响进行讨论。
