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Factors associated with hospital ent...

Iyengar, Reethi Narasimhan.

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Factors associated with hospital entry into joint venture arrangements with Ambulatory Surgery Centers.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Factors associated with hospital entry into joint venture arrangements with Ambulatory Surgery Centers./
Author:	Iyengar, Reethi Narasimhan.
Description:	204 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-07, Section: B, page: .
Contained By:	Dissertation Abstracts International72-07B.
Subject:	Health Sciences, General. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3454043
ISBN:	9781124627458

Factors associated with hospital entry into joint venture arrangements with Ambulatory Surgery Centers.
Iyengar, Reethi Narasimhan.

Factors associated with hospital entry into joint venture arrangements with Ambulatory Surgery Centers. - 204 p.

Source: Dissertation Abstracts International, Volume: 72-07, Section: B, page: .

Thesis (Ph.D.)--Virginia Commonwealth University, 2011.

This study presented an empirical analysis of the key market, regulatory, organizational, operational and financial factors associated with hospital entry into joint venture (JV) arrangements with Ambulatory Surgery Centers (ASCs) as examined through the framework of resource dependency theory complimented with neo-institutional theory.

ISBN: 9781124627458Subjects--Topical Terms:

1017817
Health Sciences, General.

Factors associated with hospital entry into joint venture arrangements with Ambulatory Surgery Centers.
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020 $a 9781124627458
035 $a (UMI)AAI3454043
035 $a AAI3454043
040 $a UMI $c UMI
100 1 $a Iyengar, Reethi Narasimhan. $3 1682316
245 1 0 $a Factors associated with hospital entry into joint venture arrangements with Ambulatory Surgery Centers.
300 $a 204 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-07, Section: B, page: .
500 $a Adviser: Michael J. McCue.
502 $a Thesis (Ph.D.)--Virginia Commonwealth University, 2011.
520 $a This study presented an empirical analysis of the key market, regulatory, organizational, operational and financial factors associated with hospital entry into joint venture (JV) arrangements with Ambulatory Surgery Centers (ASCs) as examined through the framework of resource dependency theory complimented with neo-institutional theory.
520 $a This study used a cross sectional design to examine hospitals that entered into a joint venture arrangement with ASCs in 2006 and 2007. The data for this study were drawn from five main sources: the American Hospital Association Annual Survey (AHA), the Area Resource File (ARF), the CMS (Center for Medicare and Medicaid Services) minimum dataset, the National Legislative Assembly Website and the CM case-mix files. Descriptive analysis and multivariate logistic regression were performed to examine the association of various factors in this study.
520 $a The study found that market factors such as unemployment rate and percentage of elderly were strongly associated with the hospitals decision to joint venture with ASCs. Also organizational size (measured by bed size) was a significant factor in these decisions. Other factors which showed a marginal significance were Herfindahl-Hirschman Index, number of ASCs, certificate of need laws, ownership status, and operating expense per adjusted discharge of the hospital.
520 $a This research project sheds light on joint venture arrangements between hospitals and ASCs at a very opportune time. In light of the new Health Reform Legislation, studying hospital-ASC joint ventures is very important. For hospitals and ASCs, and their collaborative interests such as joint ventures, Accountable Care Organizations (ACO's) could either provide incentives to help improve quality of care to patients or stint on needed care by making them focus narrowly on higher margin services (Fisher and Shortell 2010; Shortell and Casalino 2010). Since policy measures should encourage the first and not the second outcome, it is important to have a transparent performance measurement system that can win the confidence of the provider organizations such as hospitals and ASCs. Lacking which, it may discourage joint venture arrangements between hospitals and ASCs in future.
590 $a School code: 2383.
650 4 $a Health Sciences, General. $3 1017817
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0566
690 $a 0769
710 2 $a Virginia Commonwealth University. $b Health Services Organization and Research. $3 1682317
773 0 $t Dissertation Abstracts International $g 72-07B.
790 1 0 $a McCue, Michael J., $e advisor
790 1 0 $a Clement, Dolores $e committee member
790 1 0 $a Ozcan, Yasar $e committee member
790 1 0 $a Andrews, Robert $e committee member
790 $a 2383
791 $a Ph.D.
792 $a 2011
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3454043