Organizational Forms of the Provision of Health Care: An Institutional Perspective

Our chapter in the 2003 Handbook of Health Communication. Here’s the first paragraph:

Health organizations are among the largest, most complex, technologically rich, and value-infused of any human arrangement. As such, the field of health and medical care in North America—and indeed the world over—provides a diverse and dynamic arena for communication and organizational research. The organizations we refer to as health organizations today include forms whose structures have changed little in one hundred years, such as hospitals. But health organizations also include forms that proliferate today but barely existed one hundred years ago, such as HMOs, hospice, and prepaid multi-specialty medical groups. It is therefore appropriate that we turn our attention to these changing settings.

Health care institutions, medical organizing, and physicians: A multilevel analysis

I’m publishing my research archive as the first posts on the sites so they’re accessible. Here’s the dissertation. Have a look at the abstract:

Managed care—the dominant mode of health care organizing and financing today—may threaten physicians’ satisfaction with practicing medicine, but research has revealed that it is not dissatisfying for physicians in all organizational settings. The institutional theory of organizational communication (ITOC) offers a multileveled explanation of physicians’ reactions to managed care based on their institutional identifications and communication with managed care organizations. A multileveled analysis of data from physicians (n = 1,049) in practices (n = 492) investigates this explanation. The results suggest that institutional identifications moderate the relationship between the experience of managed care and physician satisfaction, and offer evidence for the importance of the communication between managed care representatives and physicians. The results also provide an example of the applicability of multilevel modeling for organizational and health communication research.

Site updates…

I changed the look of the site. Goodbye broccoli. Hello tanzaku.