Sloan F A
Health Serv Res. 1980 Fall;15(3):203-30.
This study presents descriptive information on several dimensions of the internal organization of hospitals, with particular emphasis on medical staff, using data from two unique national surveys. Three alternative theories of hospital behavior by economists are described and evaluated with these data. The study also shows how standard bed size, teaching, and ownership categories relate to important features of hospital organization. In this way, understanding of these standard "control" variables is enhanced. For example, systematic organizational differences between proprietary and other hospitals are reported, holding bed size and teaching status constant. No single theory of hospital behavior emerges as dominant. The tables demonstrate the diversity of hospitals and the likelihood that no single model can adequately describe the behavior of all hospitals.
本研究利用两项独特的全国性调查数据，呈现了医院内部组织几个维度的描述性信息，尤其着重于医务人员方面。文中描述并利用这些数据评估了经济学家提出的三种关于医院行为的不同理论。该研究还展示了标准床位规模、教学情况及所有权类别与医院组织重要特征之间的关系。通过这种方式，对这些标准“控制”变量的理解得以深化。例如，在床位规模和教学状况保持不变的情况下，报告了私立医院与其他医院之间系统性的组织差异。没有一种医院行为理论成为主导。表格展示了医院的多样性以及单一模型无法充分描述所有医院行为的可能性。
