Organizing for Performance: What does the Empirical Literature Reveal about the Influence of Organizational Factors on Hospital Financial Performance?

Harry D. Holt; Jonathan Clark; Jami DelliFraine; Diane Brannon

doi:10.1108/S1474-8231(2011)0000011006

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Advances in Health Care Management

ISSN: 1474-8231
Series editor(s): Dr. Leonard H. Friedman, Dr. Jim Goes, Professor Grant T. Savage

Subject Area: Health Care Management/Healthcare

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Organizing for Performance: What does the Empirical Literature Reveal about the Influence of Organizational Factors on Hospital Financial Performance?

Document Information:
Title:	Organizing for Performance: What does the Empirical Literature Reveal about the Influence of Organizational Factors on Hospital Financial Performance?
Author(s):	Harry D. Holt, Jonathan Clark, Jami DelliFraine, Diane Brannon
Volume:	11 Editor(s): John D. Blair, Myron D. Fottler ISBN: 978-0-85724-713-1 eISBN: 978-0-85724-714-8
Citation:	Harry D. Holt, Jonathan Clark, Jami DelliFraine, Diane Brannon (2011), Organizing for Performance: What does the Empirical Literature Reveal about the Influence of Organizational Factors on Hospital Financial Performance?, in John D. Blair, Myron D. Fottler (ed.) Biennial Review of Health Care Management (Advances in Health Care Management, Volume 11), Emerald Group Publishing Limited, pp.21-62
DOI:	10.1108/S1474-8231(2011)0000011006 (Permanent URL)
Publisher:	Emerald Group Publishing Limited
Article type:	Chapter Item
Abstract:	This chapter reviews and integrates the empirical literature on the influence of organizational factors on hospital financial performance. Five categories of organizational characteristics that research has addressed are identified and examined as part of the review: ownership, governance, integration, management strategy, and quality. With some exceptions, our review reveals a general lack of consistency and conclusiveness across studies in each area. Exceptions were found in the areas of governance (e.g., physician participation and board processes) and integration (e.g., horizontal system centralization). Despite the lack of conclusive findings across studies, our review suggests substantial opportunities for future work, including opportunities for qualitative and exploratory work. Additional implications for theory and management are discussed.