Meeting the health needs of a community involves developing relationships with a wide range of partners. The purpose of this study was to determine the effect of environmental uncertainty on the level of inter-organizational relations among nonprofit hospitals with the intent of providing community benefit. Findings indicate that nonprofit hospitals in California are collaborating to provide community benefit. Significant relationships were found between select hospital characteristics, perceived environmental uncertainty, and components of interorganizational relations.
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References
1.
AikenMichael and HageJerald (1968). “Organizational Interdependence and Intra-Organizational Structure.” American Sociological Review63:912–930.
2.
AldrichHoward (1980). “An Organization-Environment Perspective on Cooperation and Conflict between Organizations in the Manpower Training System,” in NegandhiAnant (ed.). Interorganization Theory. Kent: Kent State University Press.
3.
AllenMichael P. (1974). “The Structure of Interorganizational Elite Comparison: Interlocking Corporate Directorates.” American Sociological Review39:393–406.
4.
AstleyW. Graham and FombrunCharles J. (1983). “Collective Strategy: Social Ecology of Organizational Environments.” Academy of Management Review8(4):576–587.
5.
BarnettKevin (1997). The Future of Community Benefit Programming. Berkeley, CA: Public Health Institute and Hospital Research and Educational Trust.
6.
BazzoliGloria J.. (1997). “Public-Private Collaboration in Health and Human Service Delivery: Evidence from Community Partnerships.” Milbank Quarterly75(4):533–561.
7.
BensonJ. Kenneth (1975). “The Interorganizational Network as a Political Economy.” Administrative Science Quarterly20:229–249.
8.
BollandJohn M. and WilsonJan V. (1994). “Three Faces of Integrative Coordination: A Model of Interorganizational Relations in Community- Based Health and Human Services.” Health Services Research29(3):341–366.
9.
CookKaren. (1983). “A Theory of Organizational Response to Regulation: The Case of Hospitals.” Academy of Management Review8(3):193–205.
10.
CravensDavid W., ShippShannon H., and CravensKaren S. (1994). “Reforming the Traditional Organization: The Mandate for Developing Networks.” Business Horizons19–28.
11.
CummingsThomas G. (1984). “Transorganizational Development,” in StawBarry M. and CummingsL.L. (eds.). Organizational Behavior. Greenwich, CT: JAI Press.
12.
D'AunnoThomas A. and ZuckermanHoward S. (1987). “A Life-Cycle Model of Organizational Federation: The Case of Hospitals.” Academy of Management Review12(3):534–545.
13.
DavidsonStephen M. (1976). “Planning and Coordination of Social Services in Multiorganizational Contexts.” Social Service Review50(1):117–137.
14.
DillWilliam R. (1958). “Environment as an Influence of Managerial Autonomy.” Administrative Science Quarterly2:409–443.
15.
EmeryF.E. and TristE.L. (1965). “The Causal Texture of Organizational Environments.” Human Relations18(1):21–32.
16.
EvanWilliam M. (1966). “The Organization-Set: Toward a Theory of Interorganizational Relations,” in ThompsonJames D. (ed.). Approaches to Organizational Design. Pittsburgh: University of Pittsburgh Press.
17.
FennelMary L. and AlexanderJeffrey A. (1987). “Organizational Boundary Spanning in Institutionalized Environments.” Academy of Management Review30(3):456–476.
18.
ForemanStephen E. and RobertsRobert D. (1991). “The Power of Health Care Value-Adding Partnerships: Meeting Competition through Cooperation.” Hospital & Health Services Administration36(2):175–190.
19.
FottlerMyron. (1982). “Multi-Institutional Arrangements in Health Care: Review, Analysis, and a Proposal for Future Research.” Academy of Management Review7(1):67–79.
20.
GillespieDavid F. and MiletiDennis S. (1979). Technostructure and Interorganizational Relations. Lexington, MA: Lexington Books.
21.
GinnGregory O. (1990). “Strategic Change in Hospitals: An Examination of the Response of the Acute Care Hospital to the Turbulent Environment of the 1980s.” Health Services Research25(4):565–591.
22.
GottfredsonLinda S. and WhitePaul E. (1981). “Interorganizational Agreements,” in NystromPaul C. and StarbuckWilliam H. (eds.). Handbook of Organizational Design. New York: Oxford University Press.
23.
GrayBarbara (1985). “Conditions Facilitating Interorganizational Collaboration.” Human Relations38(10):911–936.
24.
GrayBarbara (1989). Collaborating—Finding Common Ground for Multiparty Problems. San Francisco: Jossey-Bass.
25.
GticarBarbara Gray (1981). “Fostering Collaboration among Organizations,” in MeltzerH. and NordWalter R. (eds.). Making Organizations Humane and Productive: A Handbook for Practitioners. New York: John Wiley and Sons.
26.
GuihanMarylou, ManheimLarry M., and SusanK, Hughes (1995). “Predicting Agency Participation in Interorganizational Network Providing Community Care.” Medical Care33(5):441–451.
27.
HallRichard H.. (1977). “Patterns of Interorganizational Relationships.” Administrative Science Quarterly22:457–474.
28.
HalpertBurton P. (1982). “Antecedents,” in RogersDavid L. and WhettenDavid A. (eds.). Interorganizational Coordination: Theory, Research, and Implementation. Ames: Iowa State University Press.
29.
JenningsEdward T. and EwaltJo Ann G. (1998). “Interorganizational Coordination, Administrative Consolidation, and Policy Performance.” Public Administration Review58(5):417–426.
30.
KaluznyArnold D. and FriedBruce J. (1985). “Interorganizational Coordination of Services to the Elderly,” in PhillipsHarry T. and GaylordSusan A. (eds.). Aging and Public Health. New York: Springer.
31.
KovnerAnthony R. (1991). “Meeting Hospital Community Benefit Standards.” Healthcare Executive6(5):30.
32.
LevineSol and WhitePaul E. (1961). “Exchange as a Conceptual Framework for the Study of Interorganizational Relationships.” Administrative Science Quarterly5:583–601.
33.
LevineSol, WhitePaul E., and PaulBenjamin D. (1963). “Community Interorganizational Problems in Providing Medical Care and Social Services.” American Journal of Public Health53(8):1183–1195.
34.
MarrettCora Bagley (1971). “On the Specification of Interorganization Dimensions.” Sociology and Social Research56:83–99.
35.
Office of Statewide Health Planning and Development (OSHPD) (1988). Non-for-Profit Community Benefit Legislation. Sacramento: Author.
36.
OliverChristine (1990). “Determinants of Interorganizational Relationships: Integration and Future Dimensions.” Academy of Management Review15(2):241–265.
37.
PenningsJohannes (1981). “Strategically Interdependent Organizations,” in NystromPaul C. and StarbuckWilliam H. (eds.). Hendbook of Organizational Design. New York: Oxford University Press.
38.
PerrowCharles B. (1970). Organizational Analysis: A Sociological View. Belmont, CA: Brooks/Cole.
39.
PfefferJeffrey (1980). “Beyond Management and the Worker: The Institutional Function of Management,” in LeavittH., PondyLouis, and BojeDavid M. (eds.). Readings in Managerial Psychology. Chicago: University of Chicago Press.
40.
PointerDennis D., BegunJames W., and LukeRoice D. (1988). “Managing Interorganizational Dependencies in the New Health Care Marketplace.” Hospital & Health Services Administration33(2):167–177.
41.
ProvanKeith G. (1984). “Interorganizational Cooperation and Decision Making Autonomy in a Consortium Multihospital System.” Academy of Management Review9(3):494–504.
42.
ProvanKeith G. and Brinton MilwardH. (1995). “A Preliminary Theory of Interorganizational Network Effectiveness: A Comparative Study of Four Community Mental Health Systems.” Administrative Science Quarterly40:1–33.
43.
SchermerhornJohn R. (1975). “Determinants of Interorganizational Cooperation.” Academy of Management Journal18(4):846–856).
44.
SchoplerJanice H. “Interorganizational Groups: Origins, Structure, and Outcomes.” Academy of Management Review12(4):702–713.
45.
ScottW. Richard (1981). Organizations—Rational, Natural, and Open Systems. Englewood Cliffs, NJ: Prentice-Hall.
46.
SPSS (1999). SPSS Base 10.0. Chicago: Author.
47.
ThompsonJames D.Organizations in Action—Social Science Bases of Administrative Theory. New York: McGraw-Hill.
48.
WalshAnne M. (1999). “Managing Environmental Uncertainty: An Analysis of Executive Behavior in the Health and Social Service Sector.” Journal of Healthcare Management44(1):47–56.
49.
WarrenRoland L. (1967). “The Interorganizational Field as a Focus for Investigation.” Administrative Science Quarterly12:396–419.
50.
WeissJanet A. (1987). “Pathways to Cooperation among Public Agencies.” Journal of Public Analysis and Management7(1):94–117.
51.
WhettenDavid A. (1987). “Interorganizational Relations: A Review of the Field.” Journal of Higher Education52(1):1–28.
52.
WhettenDavid A. and LuengThomas K. (1979). “The Instrumental Value of Interorganizational Relations: Antecedents and Consequences of Linkage Formation.” Academy of Management Journal22(2):325–344.
53.
WhitePaul E. “Intra- and Inter-Organizational Studies: Do They Require Separate Conceptualization?” Administration and Society6(1):107–152.
54.
ZinnJacquiline S., ProencaJose and RoskoMicheal D. (1997). “Organizational and Environmental Factors in Hospital Alliance Membership and Contract Management: A Resource-Dependence Perspective.” Hospital & Health Service Administration42(1):67–86.
