Review Article : Costs and Quality of Hospital Care: a Review of the Literature

Aday, L.A. and Andersen, R. (1974). "A Framework for the Study of Access to Medical Care," Health Services Research 9 (Fall): 208-20.

Aday, L.A. , Andersen, R. and Fleming, G.V. (1980). Health Care in the U.S.: Equitable for Whom? Beverly Hills: Sage, 1980.

Allison, R.F. (1976). "Administrative Responses to Prospective Reimbursement ," Topics in Health Care Financing 3 (Winter): 97-111.

American Hospital Association (1983). Hospital Statistics: 1983 Edition. Chicago: The Association, 1983.

Andersen, R. and May, J.J. (1972). "Factors Associated with the Increasing Cost of Hospital Care," Annals of the American Academy of Political and Social Science 399 (January): 62-72.

Becker, M.H. and Maiman, L.A. (1983). "Models of Health-Related Behavior." In Handbook of Health, Health Care, and the Health Professions, ed. D. Mechanic , 539-68. New York: The Free Press, 1983.

Becker, S.W. and Neuhauser, D. (1975). The Efficient Organization. New York: Elsevier, 1975.

Becker, S.W. , Shortell, S.M. and Neuhauser, D. (1980). "Management Practice and Hospital Lengths of Stay ," Inquiry 17 (Winter): 318-30.

Berry, R.E. , Jr. (1967). "Returns to Scale in the Production of Hospital Services," Health Services Research 2 (Summer): 123-39.

_ ( 1970). "Product Heterogeneity and Hospital Cost Analysis," Inquiry 12 (March): 67-75.

Biggs, E.L. (1977). "Accountability in Corporation Managed and Traditionally Managed Nonprofit Hospitals." Ph.D diss., Pennsylvania State University, 1977.

Biggs, E.L. , Kralewski, J. and Brown, G. (1980). "A Comparison of Contract-Managed and Traditionally-Managed Nonprofit Hospitals," Medical Care 18 (June): 585-96.

Brook, R.H. (1973). Qualily of Care Assessment: A Comparison of Five Methods of Peer Review. DHEW Publication No. (HRA) 74-3100. Washington, D.C.: Bureau of Health Services Research and Evaluation, Health Resources Administration, Public Health Service, July 1973.

Brook, R.H. , Davies-Avery, A. , Greenfield, S. , Harris, L.J. , Lelah, T. , Solomon, N.E. and Ware, J.E. , Jr. (1977). "Assessing the Quality of Medical Care Using Outcome Measures: An Overview of the Method," Medical Care Supplement 15 (September): 1-165.

Brook, R.H. and Williams, K.N. (1976). "Evaluation of the New Mexico Peer Review System, 1971-1973," Medical Care Supplement 14 (December): 1-122.

Brown, M. and McCool, B. (1980). Multihospital Systems Strategies for Organization and Management. Rockville, Md.: Aspen Systems Corporation, 1980.

Brown, R. E. , ed. (1972). Economies of Scale in the Health Services Industry: Proceedings of an Invitational Seminar. DHEW Publication No. (HSM) 73-3009. Washington, D.C.: National Center for Health Services Research and Development, December 1972.

Carr, W.J. and Feldstein, P.J. (1967). "The Relationship of Cost to Hospital Care," Inquiry 4 (June): 45-65.

Cohen, H.A. (1970). "Hospital Cost Curves with Emphasis on Measuring Patient Care Output." In Empirical Studies in Health Economics , ed. H. E. Klarman , 279-93. Baltimore: Johns Hopkins University Press, 1970.

Commission on Professional and Hospital Activities (1970). "Cholecystectomy Mortality," PAS Reporter 8 (April 20): 1-6.

Cooney, J.P. and Alexander, T.L. (1975). "Multihospital Systems: An Evaluation, Parts 1-4 ." Chicago: Health Services Research Center of the Hospital Research and Educational Trust and Northwestern University , 1975.

Cummings, K.M. , Becker, M. and Maile, M.C. (1980). "Bringing the Models Together: An Empirical Approach to Combining Variables Used to Explain Health Actions," J. of Behavioral Medicine 3 (June): 123-45.

Dagnone, A. (1967). "A Study of Multiple Unit Hospital Systems." Master's thesis, Program in Hospital Administration, University of Toronto, 1967.

Donabedian, A. (1966). "Evaluating the Quality of Medical Care," Health and Society: Milbank Memorial Fund Quarterly 44 (Part 2, July): 166-203.

_ ( 1980). The Definition of Quality and Approaches to Its Assessment . Vol. 1, Explorations in Quality Assessment and Monitoring. Ann Arbor, Mich.: Health Administration Press, 1980.

_ ( 1981). "Advantages and Limitations of Explicit Criteria for Assessing the Quality of Health Care," Health and Sociely: Milbank Memorial Fund Quarterly 59 (Winter): 99-106.

Drake, D. (1980). "The Cost of Hospital Regulation." In Regulating Health Care, ed. A. Levin , 45-59. New York: Academy of Political Science, 1980.

Edwards, S. (1972). Demonstration and Evaluation of Integrated Health Care Facilities. 4 vols. Chicago : Hospital Research and Educational Trust and Northwestern University, 1972.

Enthoven, A.C. (1980). Health Plan. Reading, Mass. : Addison-Wesley, 1980.

Enthoven, A.C. and Noll, R.G. (1984). "The New Prospective Payment System for Medicare Reimbursement: A Solution to Rising Federal Expenditures on Health?" Stanford: Graduate School of Business, Stanford University , 1985. Unpublished paper.

Ermann, D. and Gabel, J. (1984). "Multihospital Systems: Issues and Empirical Findings ," Health Affairs 3 (Spring): 50-64.

Federation of American Hospitals (1982). Directory of Investor-Owned Hospitals and Hospital Management Companies. Little Rock: The Federation, 1982 .

Feldstein, M.S. (1967). Economic Analysis for Health Service Efficiency . Amsterdam: North-Holland, 1967.

(1971 ). The Rising Cost of Hospital Care. National Center for Health Services Research and Development. Washington, D.C.: Information Resources Press, 1971.

(1981 ). Hospital Costs and Health Insurance. Cambridge: Harvard University Press, 1981.

Feldstein, P.J. (1970). "Comment on Hospital Cost Curves with Emphasis on Measuring Patient Care Output." In Empirical Studies in Health Economics, ed. H. E. Klarman , 294-96. Baltimore : Johns Hopkins University Press, 1970.

( 1983). Health Care Economics. 2d ed. New York: John Wiley & Sons, 1983.

Fetter, R.B. , Shin, Y. , Freeman, J.L. , Averill, R.F. and Thompson, J.D. (1980). "Case Mix Definition by Diagnosis-Related Groups ," Medical Care Supplement 18 (February): 1-53.

Fleming, G.V. (1981). "Hospital Structure and Consumer Satisfaction ," Health Services Research 16 (Spring): 43-64.

Flood, A.B. (1976). "Professionals and Organizational Performance: A Study of Medical Staff Organization and Quality of Care in Short-Term Hospitals ." Ph.D. diss., Stanford University, 1976.

Flood, A.B. , Ewy, W. , Scott, W.R. , Forrest, W.H. , Jr. and Brown, B.W. , Jr. (1979). "The Relationship between Intensity and Duration of Medical Services and Outcomes for Hospitalized Patients," Medical Care 17 (January): 1088-1102.

Flood, A.B. and Scott, W.R. (1979). "Professional Power and Professional Effectiveness: The Power of the Surgical Staff and the Quality of Surgical Care in Hospitals ," J. of Health and Social Behavior 19 (September): 240-54.

_ Hospilal Structure and Performance. Baltimore: Johns Hopkins University Press, forthcoming.

Flood, A.B. , Scott, W.R. and Ewy, W. (1984a). "Does Practice Make Perfect? Part I: The Relation between Hospital Volume and Outcomes for Selected Diagnostic Categories," Medical Care 22 (February): 98-114.

( 1984b). "Does Practice Make Perfect? Part II: The Relation between Volume and Outcomes and Other Hospital Characteristics," Medical Care 22 (February): 115-25.

Flood, A.B. , Scott, W.R. , Ewy, W. and Forrest, W.H. , Jr. (1982). "Effectiveness in Professional Organizations: The Impact of Surgeons and Surgical Staff Organizations on the Quality of Care in Hospitals," Health Services Research 17 (Winter): 341-66.

Forrest, W.H. , Jr., Brown, B.W. , Jr., Scott, W.R. , Ewy, W. and Flood, A.B. (1978). Impact of Hospital Characteristics on Surgical Outcomes and Length of Stay, A Final Report to the National Center for Health Services Research. DHEW Publication No. (HRA) 230-75-0173. Springfield, Va.: National Technical Information Service , 1978.

Fuchs, V.R. (1974). Who Shall Live? New York: Basic Books, 1974.

Garber, A.M. , Fuchs, V.R. and Silverman, J.F. (1984). "Case Mix, Costs and Outcomes: Differences between Faculty and Community Services in a University Hospital," New England J. of Medicine 310 (May 10): 1231-37.

Georgopoulos, B.S. and Mann, F.C. (1962). The Community General Hospital. New York: Macmillan, 1962.

Gertman, P.M. , Monheit, A.C. , Anderson, J.J. , Eagle, B.J. and Levenson, D.K. (1979). "Utilization Review in the United States: Results from a 1976-1977 National Survey of Hospitals," Medical Care Supplement 17 (August): 1-148.

Gibson, R.M. (1979). "National Health Expenditures, 1978," Health Care Financing Review 1 (Summer): 1-36.

Gibson, R.M. and Waldo, D.R. (1982). "National Health Expenditures, 1981," Health Care Financing Review 4 (September): 1-35.

Ginsburg, P.B. (1978). "Impact of the Economic Stabilization Program on Hospitals: An Analysis with Aggregate Data" In Hospital Cost Containment, eds. M. Zubkoff , I. E. Raskin and R. S. Hanft , 293-323. New York: Prodist, 1978.

Ginsburg, P.B. and Koretz, D.M. (1979). The Effect of PSROs on Health Care Costs: Current Findings and Future Evaluations. Washington, D.C.: Congressional Budget Office, June 1979.

Goldfarb, M.C. , Hornbrook, M.C. , Kelly, J.V. and Monheit, A.C. (1980). "Health Care Expenditures." In Health United States 1980, DHSS Publication No. (PHS) 81-1232. Washington, D.C.: Office of Health Research, Statistics and Technology, December 1980.

Goldsmith, J.C. (1981). Can Hospitals Survive? The New Competitive Health Care Market. Homewood, Ill.: Dow Jones-Irwin, 1981.

Goran, M.J. , Roberts, J.S. , Kellogg, M. , Fielding, J. and Jessee, W. (1975). "The PSRO Hospital Review System," Medical Care Supplement 13 (April): 1-32.

Goss, M.E.W. (1970). "Organizational Goals and Quality of Medical Care: Evidence from Comparative Research on Hospitals, " J. of Health and Social Behavior 11 (December): 255-68.

Gray, B.H. (1983). The New Health Care for Profit. Washington, D.C.: National Academy Press, 1983.

Health Care Financing Administration (1980 ). Professional Standards Review Organization 1979 Program Evaluation, Health Care Financing Research Report. HCFA Publication No. 03041-5/80. Baltimore: The Administration, 1980 .

Hellinger, F.J. (1976). "The Effect of Certificate-of-Need Legislation on Hospital Investment," Inquiry 13 (June): 187-93.

_ ( 1978). "An Empirical Analysis of Several Prospective Reimbursement Systems." In Hospital Cost Containment, eds. M. Zubkoff , I. E. Raskin and R. S. Hanft , 370-400. New York: Prodist, 1978.

Horn, S.D. and Sharkey, P.D. (1983). "Measuring Severity of Illness to Predict Patient Resource Use within DRGs," Inquiry 20 (Winter): 314-21.

Institute of Medicine (1976). Assessing Quality in Health Care: An Evaluation. Washington, D.C.: National Academy of Sciences, November 1976.

Jeffers, J.R. and Siebert, C.D. (1974). "Measurement of Hospital Cost Variation: Case Mix, Service Intensity and Input Productivity Factors," Health Services Research 9 (Winter): 293-307.

Joskow, P. (1981). Controlling Hospital Costs: The Role of Government Regulation. Cambridge: MIT Press , 1981.

Kahn, R.L. (1977). "Organizational Effectiveness: An Overview." In New Perspectives on Organizational Effectiveness, eds. P. S. Goodman , J. M. Pennings and associates, 235-46. San Francisco: Jossey-Bass , 1977.

Kasl, S.V. and Cobb, S. (1966). "Health Behavior, Illness Behavior, and Sick Role Behavior," Archives of Environmental Health 12 (February): 246-66.

Kinzer, D.M. (1977). Health Controls Out of Control: Warning to the Nation from Massachusetts. Chicago: Teach'em, 1977.

Klarman, H.E. (1969). "The Difference the Third Party Makes," J. of Risk and Insurance 36 (December): 553-66.

_ ( 1977). "The Financing of Health Care." In Doing Better and Feeling Worse: Health in the United States, ed. J. H. Knowles , 215-34. New York: W. W. Norton, 1977.

Knaus, W.A. , Schroeder, S. and Davis, D.D. (1977). "Impact of New Technology: The CT Scanrier," Medical Care 15 (July): 533-42.

Kohl, S.G. (1955). Perinatal Mortality in New York City. Cambridge: Harvard University Press, 1955.

Kushman, J.E. and Nuckton, C.F. (1977). "Further Evidence on the Relative Performance of Proprietary and Nonprofit Hospitals," Medical Care 15 (March): 189-204.

Lave, J.R. (1966). "A Review of the Methods Used to Study Hospital Costs," Inquiry 3 (May): 57-81.

Lave, J.R. and Lave, L.B. (1971). "The Extent of Role Differentiation among Hospitals ," Health Services Research 6 (Spring): 15-38.

_ ( 1978). "Hospital Cost Function Analysis: Implications for Cost Control" In Hospital Cost Containment, eds. M. Zubkoff , I. E. Raskin and R. S. Hanft , 538-71. New York: Prodist, 1978.

Lee, J.A.H. , Morrison, S.L. and Morris, J.N. (1957). "Fatality from Three Common Surgical Conditions in Teaching and Non-Teaching Hospitals," Lancet 2 (October 19): 785-90.

Lee, P.R. and Estes, C.L. (1983). "New Federalism and Health Policy," Annals of the American Academy of Political and Social Science 468 (July): 88-102.

Lewin, L.S. , Derzon, R.A. and Margulies, P. (1981). "Investor-Owned and Non-Profits Differ in Economic Performance," Hospitals 55 (July): 52-58.

Lipworth, L. , Lee, J.A.H. and Morris, J.N. (1963). "Case-Fatality in Teaching and Non-Teaching Hospitals, 1965-59," Medical Care 1 (April-June): 71-76.

Lohr, K.N. and Marquis, M.S. (1984). Medicare and Medicaid: Past, Present and Future. Publication No. N-2088-HHS/RC. Santa Monica: Rand Corporation, May 1984.

Longest, B.B. , Jr. (1974). "The Relationship between Coordination, Efficiency and Quality of Care in General Hospitals," Hospital Administration 19 (Fall): 65-86.

Luft, H.S. (1978). "How Do Health Maintenance Organizations Achieve Their Savings?" New England J. of Medicine 298 (June 15): 1336-43.

( 1980). "The Relation between Surgical Volume and Mortality: An Exploration of Causal Factors and Alternative Models," Medical Care 18 (September): 940-59.

( 1981a). Health Maintenance Organizations: Dimensions of Performance . New York: John Wiley & Sons , 1981.

( 1981b). "Diverging Trends in Hospitalization: Fact or Artifact ?" Medical Care 19 (October): 979-94.

Luft, H.S. , Bunker, J.P. and Enthoven, A.C. (1979). "Should Operations Be Regionalized? The Empirical Relation between Surgical Volume and Mortality," New England J. of Medicine 301 (December 20): 1364-69.

Luke, R.D. and Thompson, M.A. (1980). "Utilization of Within-Hospital Services: A Study of the Effects of Two Forms of Group Practice," Medical Care 18 (February): 219-27.

McAuliffe, W.E. (1978). "Studies of Process-Outcome Correlations in Medical Care Evaluations: A Critique," Medical Care 16 (November): 904-30.

( 1979). "Measuring the Quality of Medical Care: Process versus Outcome," Health and Sociely: Milbank Memorial Fund Quarterly 57 (Winter): 118-52.

McGrath, J.H. , Rothman, R.A. and Schwartzbaum, A.M. (1970). "Factors Associated with Physician's Vote on the Wilmington Hospital Merger," Delaware Medical J. 42 (February): 35-40 passim.

McMahon, J.A. and Drake, D.F. (1978). "The American Hospital Association Perspective ." In Hospital Cost Containment, eds. M. Zubkoff , I. E. Raskin and R. S. Hanft , 76-102. New York: Prodist, 1978.

Manning, W.G. , Leibowitz, A. , Goldberg, G.A. , Rogers, W.H. and Newhouse, J.P. (1984). "A Controlled Trial of the Effect of a Prepaid Group Practice on Use of Services," New England J. of Medicine 310 (June 7): 1505-10.

Mechanic, D. (1962). "The Concept of Illness Behavior," J. of Chronic Diseases 15 (February): 189-94.

Meyers, J.A. (1983). Market Reforms in Health Care. Washington, D.C.: American Enterprise Institute for Public Policy Research, 1983.

Money, W.H. , Gilfillan, D.P. and Duncan, R. (1976). "A Comparative Study of Multi-Unit Health Care Organizations." In Organizational Research in Hospitals, eds. S. M. Shortell and M. Brown , 29-61. Chicago: Inquiry Book, Blue Cross Association, 1976.

Morehead, M.A. and Donaldson, R. (1964). A Study of the Quality of Hospital Care Secured by a Sample of Teamster Family Members in New York City. New York: Columbia University, 1964 .

Morlock, L. , Nathanson, C. , Horn, S. and Schumacher, D. (1979). "Organizational Factors Associated with the Quality of Care in 17 General Acute Hospitals. " Paper presented at the annual meeting of the Association of University Programs in Health Administration, Toronto, 1979 .

Morse, E.V. , Gordon, G. and Moch, M. (1974). "Hospital Costs and Quality of Care: An Organizational Perspective," Health and Society: Milbank Memorial Fund Quarterly 52 (Summer): 315-46.

Moseley, S.K. and Grimes, R.M. (1976). "The Organization of Effective Hospitals," Health Care Management Review 1 (Summer): 13-23.

Moses, L.E. and Mosteller, F. (1968). "Institutional Differences in Postoperative Death Rates: Commentary on Some of the Findings of the National Halothane Study ," J. of the American Medical Association 203 (February 12): 492-94.

National Center for Health Services Research ( 1977). Changes in the Costs of Treatment of Selected Illnesses, 1951-1964-1971. DHEW Publication No. (HRA) 77-3161. Rockville, Md.: The Center, 1977.

Neuhauser, D. (1971). The Relationship between Administrative Activities and Hospital Performance. Research Series No. 28. Chicago : Center for Health Administration Studies, University of Chicago, 1971.

Neuhauser, D. and Andersen, R. (1972). "Structural Comparative Studies of Hospitals." In Organization Research on Health Institutions, ed. B. S. Georgopoulos , 83-114. Ann Arbor, Mich. : Institute for Social Research, University of Michigan , 1972.

Neumann, B.R. (1974). "A Financial Analysis of a Hospital Merger: Samaritan Health Service," Medical Care 12 (December): 983-98.

Palmer, R.H. and Reilly, M.C. (1979). "Individual and Institutional Variables Which May Serve as Indicators of Quality of Medical Care," Medical Care 17 (July): 693-717.

Panel to Review Productivity Statistics (1979 ). Measurement and Interpretation of Productivity. Washington, D.C.: National Academy of Sciences, 1979.

Pauly, M.V. (1978). "Medical Staff Characteristics and Hospital Costs ," J. of Human Resources Supplement 13 (1978): 77-111.

Payne, B.C. (1966). Hospital Utilization Review Manual. Ann Arbor, Mich.: University of Michigan Press, 1966.

Payne, B.C. and Lyons, T.F. (1972). "The Episode of Illness: Method of Evaluating and Improving Personal Medical Care Quality. " Ann Arbor, Mich.: School of Medicine, University of Michigan, 1972.

Payne, B.C. , Lyons, T.F. and Neuhaus, E. (1984). "Relationships of Physician Characteristics to Performance Quality and Improvement," Health Services Research 19 (August): 307-32.

President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1983). Securing Access to Health Care: The Ethical Implications of Differences in the Availability of Health Services. Vol. 1. Washington, D.C.: Government Printing Office, March 1983.

Price, J.L. and Mueller, C.W. (1981). "A Causal Model of Turnover for Nurses," Academy of Management J. 24 (1981 ): 543-65.

Redisch, M.A. (1978). "Physician Involvement in Hospital Decision Making ." In Hospital Cost Containment, eds. M. Zubkoff , I. E. Raskin and R. S. Hanft , 217-43. New York: Prodist, 1978.

Rhee, S-O. (1976). "Factors Determining the Quality of Physician Performance in Patient Care," Medical Care 14 (September): 733-50.

( 1977). "Relative Importance of Physicians' Personal and Situational Characteristics for the Quality of Patient Care," J. of Health and Social Behavior 18 (March): 10-15.

_ ( 1983). "Organizational Determinants of Medical Care Quality: A Review of the Literature." In Organization and Change in Health Care Quality Assurance, eds. R. D. Luke , J. C. Krueger and R. E. Modrow , 127-46. Rockville, Md.: Aspen Systems Corporation, 1983.

Rhee, S-O. , Luke, R.D. and Culverwell, M.B. (1980). "Influence of Client/Colleague Dependence on Physician Performance in Patient Care," Medical Care 18 (August): 829-41.

Rhee, S-O. , Luke, R.D. , Lyons, T.F. and Payne, B.C. (1981). "Domain of Practice and the Quality of Physician Performance," Medical Care 19 (January): 14-23.

Roemer, M.I. (1961). "Bed Supply and Hospital Utilization: A Natural Experiment," Hospitals 35 (November 1): 36-42.

Roemer, M.I. and Friedman, J.W. (1971). Doctors in Hospitals: Medical Staff Organization and Hospilal Performance. Baltimore: Johns Hopkins University Press, 1971.

Roemer, M.I. , Moustafa, A.T. and Hopkins, C.E. (1968). "A Proposed Hospital Quality Index: Hospital Death Rates Adjusted for Case Severity," Health Services Research 3 (Summer): 96-118.

Rosenstock, I.M. (1966). "Why People Use Health Services," Milbank Memorial Fund Quarterly 44 (Part 2, July): 94-124.

Rushing, W. (1974). "Differences in Profit and Nonprofit Organizations: A Study of Effectiveness and Efficiency in General Short-Stay Hospitals," Administrative Science Quarterly 19 (December): 474-84.

Salkever, D.S. (1979). Hospital-Sector Inflation. Lexington, Mass.: Lexington Books, 1979.

Salkever, D.S. and Bice, T.W. (1976). "The Impact of Certificate-of-Need Controls on Hospital Investment," Health and Sociely: Milbank Memorial Fund Quarterly 54 (Spring): 185-214.

( 1978). "Certificate-of-Need Legislation and Hospital Costs." In Hospital Cost Containment, eds. M. Zubkoff , I. E. Raskin and R. S. Hanft , 429-60. New York: Prodist, 1978.

Schoonhoven, C.B. , Scott, W.R. , Flood, A.B. and Forrest, W.H. , Jr. (1980). "Measuring the Complexity and Uncertainty of Surgery and Postsurgical Care," Medical Care 18 (September): 893-915.

Scitovsky, A.A. and McCall, N. (1976). Changes in the Costs of Treatment of Selected Illnesses, 1964-1971. Research Digest Series, DHEW Publication No. (HRA) 77-3161 . Washington, D.C.: National Center for Health Services Research, July 1976.

Scott, W.R. (1977). "Effectiveness of Organizational Effectiveness Studies." In New Pcrspectives on Organizational Effectiveness , eds. P. S. Goodman , J. M. Pennings and associates, 63-95. San Francisco : Jossey-Bass, 1977.

Scott, W.R. , Flood, A.B. and Ewy, W. (1979). "Organizational Determinants of Services, Quality and Cost of Care in Hospitals," Health and Society: Milbank Memorial Fund Quarterly 57 (Spring): 234-64.

Scott, W.R. , Forrest, W.H. , Jr. and Brown, B.W. , Jr. (1976). "Hospital Structure and Postoperative Mortality and Morbidity." In Organizational Research in Hospitals, eds. S. M. Shortell and M. Brown , 72-89. Chicago: Inquiry Book, Blue Cross Association, 1976.

Scott, W.R. and Shortell, S.M. (1983). "Organizational Performance: Managing for Efficiency and Effectiveness." In Health Care Management: A Text in Organizational Theory and Behavior, eds. S. M. Shortell and A. D. Kaluzny , 418-56. New York: John Wiley & Sons, 1983.

Shortell, S.M. , Becker, S.W. and Neuhauser, D. (1976). "The Effects of Management Practices on Hospital Efficiency and Quality of Care." In Organizational Research in Hospitals, eds. S. M. Shortell and M. Brown , 90-112. Chicago: Inquiry Book, Blue Cross Association, 1976.

Shortell, S. M. and Kaluzny, A. D. , eds. (1983). Health Care Management: A Text in Organizational Theory and Behavior. New York : John Wiley & Sons, 1983.

Shortell, S.M. and LoGerfo, J.P. (1981). "Hospital Medical Staff Organization and Quality of Care: Results for Myocardial Infarction and Appendectomy," Medical Care 19 (October): 1041-55.

Sloan, F.A. , Feldman, R.D. and Steinwald, A.B. (1983). "Effects of Teaching on Hospital Costs," J. of Health Economics 2 (March): 1-28.

Sloan, F.A. and Steinwald, A.B. (1980a). Hospital Labor Markets. Lexington, Mass.: Lexington Books, 1980.

_ ( 1980b). Insurance, Regulation, and Hospital Costs. Lexington, Mass.: Lexington Books, 1980.

Somers, H.M. and Somers, A.R. (1967). Medicare and the Hospitals. Washington, D.C.: Brookings Institution, 1967.

Stanford Center for Health Care Research ( 1974). Study of Institutional Differences in Postoperative Mortality, Final Report to the National Academy of Sciences. Publication No. (PH) 43-63-65 . Springfield, Va.: National Technical Information Service, 1974.

Starkweather, D.B. (1981). Hospital Mergers in the Making. Ann Arbor, Mich.: Health Administration Press, 1981.

Starr, P. (1982). The Social Transformation of American Medicine . New York: Basic Books, 1982.

State of Maryland Commission (1964). Report of the State of Maryland Commission to Study Hospital Costs. Baltimore: The Commission, 1964.

Stigler, G. (1958). "The Economies of Scale," J. of Law and Economics 1 (October): 54-71.

Studnicki, J. (1979). "Multihospital Systems: A Research Perspective ," Inquiry 16 (Winter): 315-22.

Suchman, E.A. (1965). "Social Patterns of Illness and Medical Care," J. of Health and Human Behavior 6 (Spring): 2-16.

Thompson, J.D. , Fetter, R.B. and Mross, C.D. (1975). "Case Mix and Resource Use," Inquiry 12 (December): 300-12.

Treat, T.F. (1976). "The Performance of Merging Hospitals," Medical Care 14 (March): 199-209.

Trussell, R.E. Morehead, M. and Ehrlich, J. (1962). The Quantity, Quality, and Costs of Medical and Hospital Care Secured by a Sample of Teamster Families in the New York Area . New York: Columbia University , 1962.

Weisman, C.S. , Alexander, C.S. and Chase, G.A. (1981). "Determinants of Hospital Staff Nurse Turnover ," Medical Care 19 (April): 431-43.

Wennberg, J. and Gittelsohn, A. (1973). "Small Area Variations in Health Care Delivery ," Science 182 (December 14): 1102-08.

White, W.D. (1982). "The American Hospital Industry since 1900: A Short History." In Advances in Health Economics and Health Services Research, ed. R. M. Scheffler , 143-70. Greenwich, Conn.: JAI Press, 1982.

Wilensky, G.R. and Rossiter, L.F. (1983). "Relative Importance of Physician-Induced Demand in the Demand for Medical Care," Health and Society: Milbank Memorial Fund Quarterly 61 (Spring): 252-77.

Zuckerman H.S. (1979). "Multi-Institutional Systems: Their Promise and Performance." In Multi-Institutional Hospital Systems, eds. H. S. Zuckerman and L. E. Weeks , 3-51. Chicago: Hospital Research and Educational Trust, 1979.