Martin RuefAssistant Professor of Sociology
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Curriculum Vitae
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Courses Sociology 110 |
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Now Available . . . W. Richard Scott, Martin Ruef, Peter J. Mendel, and Carol A. Caronna "Institutional
Change and Healthcare Organizations: This volume addresses fundamental issues in the research of both organizations and health services. First, it describes and attempts to account for the quite profound transformations that have occurred in U.S. healthcare during the past half century. Second, it develops and illustrates a general theoretical framework for assessing changes in broad institutional frameworks and their effects on organizations. The authors present a systematic study of the numbers, types, and linkages among healthcare providers in the San Francisco Bay area since 1945, with a focus on five populations of organizations: hospitals, home health agencies, health maintenance organizations, kidney dialysis centers, and healthcare systems. This organizational field is viewed as existing in and being influenced by a wide array of actors and forces operating at local, state and national levels. The analytical scheme attends to the material resource conditions of these environments, such as funding levels and socio-demographic characteristics, as well as their institutional dimensions. In particular, the transformations of the healthcare field are framed by three relatively differentiated institutional eras: historical periods marked by distinctive sets of actors, governance structures, and logics. An era of "professional dominance", characterized by physician autonomy and the centrality of voluntary hospitals, is replaced by an era of "federal involvement", with increased national government participation in funding and regulating healthcare. This, in turn, gives way to the current era of "managerial and market orientation", with emphases on managed care and competition. ISBN: 0226743101 (442 pp.) Order a Copy |
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