作者: Jeffrey A. Alexander
DOI: 10.1016/B978-0-08-097086-8.14103-0
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摘要: In the United States, increasingly, strong market and financial pressures are interacting with traditionally dominant institutional forces to shape behavior of hospitals, particularly those that operate as nonprofit organizations. This situation contrasts many other developed nations where hospitals health care organizations operated largely under public auspices. Escalating demands for greater efficiency, cost containment, higher quality, together counterpressures maintain local autonomy professional control, has resulted in both new organizational practices forms. article describes social affecting organizations, changes these have experienced they attempt accommodate potentially conflicting environmental demands.