What do you think?
Rate this book
Institutional Change and Healthcare Organizations : From Professional Dominance to Managed Care
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 in the San Francisco Bay area since 1945. The authors describe these changes in detail and relate them to both the sociodemographic trends in the Bay Area and to shifts in regulatory systems and policy environments at local, state, and national levels. But this is more than a social history; the authors employ a variety of theoretical perspectives—including strategic management, population ecology, and institutional theory—to examine five types of healthcare organizations through quantitative data analysis and illustrative case studies.
Providing a thorough account of changes for one of the nation's leading metropolitan areas in health service innovation, this book is a landmark in the theory of organizations and in the history of healthcare systems.
This book examines the transformations that have occurred in medical care systems in the San Francisco Bay area since 1945. The authors describe these changes in detail and relate them to both the sociodemographic trends in the Bay Area and to shifts in regulatory systems and policy environments at local, state, and national levels. But this is more than a social history; the authors employ a variety of theoretical perspectives—including strategic management, population ecology, and institutional theory—to examine five types of healthcare organizations through quantitative data analysis and illustrative case studies.
Providing a thorough account of changes for one of the nation's leading metropolitan areas in health service innovation, this book is a landmark in the theory of organizations and in the history of healthcare systems.
452 pages, Paperback
First published April 15, 2000
11 people want to read
About the author
W. Richard Scott
38 books11 followersW. Richard (Dick) Scott received his undergraduate and M.A. degrees from the University of Kansas and his Ph.D. in sociology from the University of Chicago.
He is currently Emeritus Professor in the Department of Sociology at Stanford University where he also holds courtesy appointments in the Graduate School of Business, School of Education, and School of Medicine. He has been at Stanford throughout his professional career. In addition to serving as chair of the Department of Sociology, from 1972 to 1989 he directed the Organization Research Training Program at Stanford under the auspices of the National Institute of Mental Health, and was the founding director of the Stanford Center for Organizations Research, 1988-1996.
He is the author or co-author of over one hundred scholarly articles and book chapters and has written or co-written about a dozen books and edited or co-edited another dozen. His most recent books include Institutional Change and Healthcare Organizations ( 2000) with Martin Ruef, Peter Mendel and Carol Caronna, and Institutions and Organizations, Second Edition (2001) . He has served on the editorial board of many professional journals and was the editor of the Annual Review of Sociology from 1986-1991.
He has also been active in policy circles at the national level, serving on study sections for the National Science Foundation, National Institute of Mental Health, and National Center for Health Service Research. He was elected a member of the Institute of Medicine of the National Academy of Science in 1975, and he served as a member of the governing board of the Commission on Behavioral and Social Sciences and Education (CBASSE) of the National Research Council from 1990-1996.
Scott is a past fellow of the Center for Advanced Study in the Behavioral Sciences. In 1988, he received the Distinguished Scholar Award from the Management and Organization Theory Division of the Academy of Management; and in 1996, he was selected for the Richard D. Irwin Award for Scholarly Contributions to Management from the Academy of Management. In 2000, the W. Richard Scott Award for Distinguished Scholarship was created by the Organizations, Occupations, and Work Section of the American Sociological Association, to annually recognize an outstanding article-length contribution to the field. He has received honorary degrees from the Copenhagen Business School ( 2000) and from the Helsinki School of Economics and Business Administration (2001) .
He is currently Emeritus Professor in the Department of Sociology at Stanford University where he also holds courtesy appointments in the Graduate School of Business, School of Education, and School of Medicine. He has been at Stanford throughout his professional career. In addition to serving as chair of the Department of Sociology, from 1972 to 1989 he directed the Organization Research Training Program at Stanford under the auspices of the National Institute of Mental Health, and was the founding director of the Stanford Center for Organizations Research, 1988-1996.
He is the author or co-author of over one hundred scholarly articles and book chapters and has written or co-written about a dozen books and edited or co-edited another dozen. His most recent books include Institutional Change and Healthcare Organizations ( 2000) with Martin Ruef, Peter Mendel and Carol Caronna, and Institutions and Organizations, Second Edition (2001) . He has served on the editorial board of many professional journals and was the editor of the Annual Review of Sociology from 1986-1991.
He has also been active in policy circles at the national level, serving on study sections for the National Science Foundation, National Institute of Mental Health, and National Center for Health Service Research. He was elected a member of the Institute of Medicine of the National Academy of Science in 1975, and he served as a member of the governing board of the Commission on Behavioral and Social Sciences and Education (CBASSE) of the National Research Council from 1990-1996.
Scott is a past fellow of the Center for Advanced Study in the Behavioral Sciences. In 1988, he received the Distinguished Scholar Award from the Management and Organization Theory Division of the Academy of Management; and in 1996, he was selected for the Richard D. Irwin Award for Scholarly Contributions to Management from the Academy of Management. In 2000, the W. Richard Scott Award for Distinguished Scholarship was created by the Organizations, Occupations, and Work Section of the American Sociological Association, to annually recognize an outstanding article-length contribution to the field. He has received honorary degrees from the Copenhagen Business School ( 2000) and from the Helsinki School of Economics and Business Administration (2001) .
Ratings & Reviews
Friends & Following
Create a free account to discover what your friends think of this book!
Community Reviews
Displaying 1 - 3 of 3 reviews
March 1, 2018
Absolutely fantastic! Gives a great overview of healthcare change, and demonstrates wonderful analytic techniques to better understand how healthcare systems behave in changing political contexts.
February 29, 2012
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's not the most up-to-date. Furthermore, the organizational ecology approach isn't too popular among scholars any more. But overall, I really like this book.
The only drawback is that it only really goes until the mid 1990s, so it's not the most up-to-date. Furthermore, the organizational ecology approach isn't too popular among scholars any more. But overall, I really like this book.
August 31, 2013
good read
Displaying 1 - 3 of 3 reviews