The study of strategic management pursues a continual understanding of the factors that influence an organization's adaptation to innovation and change. The U.S. health care industry is one in which hospital managers face countless issues that require the organization to seek strategic decisions that provide a sustainable, competitive advantage. Frustrated with hospitals' historical unwillingness to adopt ambulatory surgery centers (ASCs), physician specialists established strategic alliances among themselves or with well-funded surgery center companies to reduce the (a) cost, (b) complexity, (c) time, and (d) risk involved in the development of these facilities. Based on competition with their referring physicians and physicians' acceptance of strategic alliances with ambulatory surgery center management companies, hospital managers reacted. The framework for the study was a cross-sectional, one-time assessment of managerial attitudes and perceptions utilizing a survey instrument from a population of hospital executives and senior managers regarding their willingness to adopt physician strategic alliances (PSAs) in ASCs. Review of the literature enabled identification of influential factors and offered support to the chosen framework within which answers to the research questions were pursued. The research questions tested various hypotheses regarding hospital decision makers' perceptions of the (a) need, (b) relative value, (c) complexity, and (d) risk of innovation with physician strategic alliances in ambulatory surgery centers. As a result of this study, the data indicate that hospital senior managers' willingness to recommend PSAs in ASCs may be dependent on their perception of need and relative value but may not be dependent on their perception of organizational complexity or risk.
|Advisor:||Gordon, Jean, DBA|
|Commitee:||Barnes, F. Barry, DeYong, Robert|
|Department:||School of Business and Technology|
|School Location:||United States -- Minnesota|
|Source:||DAI-B 72/09, Dissertation Abstracts International|
|Subjects:||Management, Health care management, General Medical and Surgical Hospitals|
|Keywords:||Ambulatory surgery centers, Decision making, Innovation, Outpatient surgery, Physician partnerships, Strategic allicances|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be