000			01901nam a2200181 4500
999			_c52928 _d52928
003			OSt
005			20191125133947.0
008			191125b ||||| |||| 00| 0 eng d
100			_aOkasha, Ahmed _935080
245			_aResource Partitioning and Hospital Specialization
300			_a337-350 p.
520			_aBackground: Organizational scholars have been debating over specialism and generalism, and which environment is better for specialists and for generalists. Methods: This study relies heavily on the work of Okasha (Okasha, 1995, Modeling the determinants of hospital services differentiation and specialization (Dissertation). Virginia Commonwealth University, Richmond) and enhances it with available current literature on the topic. Okasha’s (Modeling the determinants of hospital services differentiation and specialization (Dissertation). Virginia Commonwealth University, Richmond) study tested the use of resource partitioning theory to explain the conversion of generalists to specialists under competitive environments. Results: The anticipated effect of buyers of care on hospital specialization was evident. Recent work on specialization (Eastaugh, 2014, Journal of Healthcare Finance) confirmed the trend. Conclusion: Buyer-related factors and organizational factors were the most important predictors of the positive change in hospital specialization between 1987 and 1993. High competition, the increased pressure from buyers of care, and organizational factors were the most important predictors of the positive change in the hospital specialization measures during that time period.
653			_aHospital specialization
653			_ahospital partitioning
653			_ahospital efficiency
773	0		_029022 _977393 _aSAGE PUBLICATIONS _dNEW DELHI SAGE PUBLICATIONS 2012 _o55511169 _tJOURNAL OF HEALTH MANAGEMENT _x0972-0634
942			_2ddc _cJA-ARTICLE