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Institutional Change and Healthcare Organizations: From Professional Dominance to Managed Care
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Institutional Change and Healthcare Organizations: From Professional Dominance to Managed Care

3.75  ·  Rating Details ·  8 Ratings  ·  2 Reviews
Few large institutions have changed as fully and dramatically as the U.S. healthcare system since World War II. Compared to the 1930s, healthcare now incorporates a variety of new technologies, service-delivery arrangements, financing mechanisms, and underlying sets of organizing principles.

This book examines the transformations that have occurred in medical care systems i
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Paperback, 452 pages
Published May 1st 2000 by University Of Chicago Press (first published April 15th 2000)
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Kristina
Feb 28, 2012 Kristina rated it it was amazing
This is a great piece that uses an organizational ecology perspective to trace the history of the US healthcare system. In particular, I enjoyed Scott and colleagues' description of the changing institutional logics driving the US healthcare system over time, from professional dominance through federal responsibility to managerial-market orientation. It is a useful framework for explaining why the system looks like it does.

The only drawback is that it only really goes until the mid 1990s, so it'
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Ime Asangansi
Aug 31, 2013 Ime Asangansi rated it it was amazing
good read
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