A resource-dependence model of hospital contract management. Academic Article uri icon


  • This study empirically examines the determinants of hospital entry into management contracts with multihospital systems. Using a resource-dependence framework, the study tests whether market conditions, regulatory climate, management effectiveness, and certain enabling factors affect the probability of hospital entry into a contract management arrangement. The study used a pooled sample of 312 contract-managed and 936 traditionally managed hospitals. Results suggest the importance of management effectiveness, regulatory climate, and hospital ownership (investor owned or nonprofit) as predisposing conditions of contract management.

published proceedings

  • Health Serv Res

author list (cited authors)

  • Alexander, J. A., & Morrisey, M. A

citation count

  • 31

complete list of authors

  • Alexander, JA||Morrisey, MA

publication date

  • June 1989