Using resource dependency theory to measure the environment in health care organizational studies

Yeager, Valerie A.; Menachemi, Nir; Savage, Grant T.; Ginter, Peter M.; Sen, Bisakha; Beitsch, Leslie M.

doi:10.1097/hmr.0b013e3182826624

Cited by 54 publications

(49 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…First, although 10 resource-dependency theory is widely used in the strategic management literature, it may not be 11 exhaustive in capturing a physician practice's environment (Yeager et al, 2014). Second, the 12 data presented are cross-sectional, thus we are not able to comment on the causality of the 13 relationships.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The relationship between the external environment and physician e-mail communication

Mazurenko

Hearld

Menachemi³

2017

Health Care Manage Rev

Self Cite

View full text Add to dashboard Cite

Background: Physician e-mail communication, with patients and other providers, is one of the cornerstones of effective care coordination but varies significantly across physicians. A physician’s external environment may contribute to such variations by enabling or constraining a physician’s ability to adopt innovations such as health information technology (HIT) that can be used to support e-mail communication. Purpose: The aim of the study was to examine whether the relationship of the external environment and physician e-mail communication with patients and other providers is mediated by the practice’s HIT availability. Methodology: The data were obtained from the Health Tracking Physician Survey (2008) and the Area Resource File (2008). Cross-sectional multivariable subgroup path analysis was used to investigate the mediating role of HIT availability across 2,850 U.S. physicians. Findings: Solo physicians’ perceptions about malpractice were associated with 0.97 lower odds (p < .05) of e-mail communication with patients and other providers, as compared to group and hospital practices, even when mediated by HIT availability. Subgroup analyses indicated that different types of practices are responsive to the different dimensions of the external environment. Specifically, solo practitioners were more responsive to the availability of resources in their environment, with per capita income associated with lower likelihood of physician e-mail communication (OR = 0.99, p < .01). In contrast, physicians working in the group practices were more responsive to the complexity of their environment, with a physician’s perception of practicing in environments with higher malpractice risks associated with greater information technology availability, which in turn was associated with a greater likelihood of communicating via e-mail with patients (OR = 1.02, p < .05) and other physicians (OR = 1.03, p < .001). Practical Applications: The association between physician e-mail communication and the external environment is mediated by the practice’s HIT availability. Efforts to improve physician e-mail communication and HIT adoption may need to reflect the varied perceptions of different types of practices.

show abstract

Section: Resultsmentioning

confidence: 99%

“…The 22 data were obtained from the Health Tracking Physician Survey (HTPS) (2008) conducted by the 23 Physician Survey Methodology Report, 2008). The HTPS consisted of nationally representative 2 sample of U.S. physicians.…”

Section: Methods 20mentioning

confidence: 99%

The relationship between the external environment and physician e-mail communication

Mazurenko

Hearld

Menachemi³

2017

Health Care Manage Rev

Self Cite

View full text Add to dashboard Cite

show abstract

“…본 연구에서는 자원의존이론을 간호영역에 적용한 국외연구 [11,12]와 간호사 확보수준과 향상에 관한 국내 선행연구 [13,15,16] 를 근거로 하여 분석모형을 설정하였다. 의료기관 내부 특성으로는 종별 구분 [13,15], 소재지 [11,12,15], 설립 유형 [11,13], 병상수 [15], 상급병실 병상비율 [13], 전문의와 일반의 확보수준 [13,15], 중환자실 [13]·신생아중환자실 [13]·응급실 [16] 운영 여부를 반영하였다.…”

Section: ) 분석모형unclassified

“…의료기관 내부 특성으로는 종별 구분 [13,15], 소재지 [11,12,15], 설립 유형 [11,13], 병상수 [15], 상급병실 병상비율 [13], 전문의와 일반의 확보수준 [13,15], 중환자실 [13]·신생아중환자실 [13]·응급실 [16] 운영 여부를 반영하였다. 외부 환경 요인으로 풍요성을 5개 변수(지역 내 노인인구 비율 [11,12], 대 학졸업자 비율 [17], 인구 1000명당 일반병동 병상수 [11], 기존 면허 간호사 공급량 [12,16,18], 신규면허간호사 공급량 [16] …”

Section: ) 분석모형unclassified

Impact of Increased Supply of Newly Licensed Nurses on Hospital Nurse Staffing and Policy Implications

2017

View full text Add to dashboard Cite

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0)If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium. Purpose: This study aimed to analyze the impact of increasing the supply of newly licensed nurses on improving the hospital nurse staffing grades for the period of 2009~2014. Methods: Using public administrative data, we analyzed the effect of newly licensed nurses on staffing in 1,594 hospitals using Generalized Estimating Equation (GEE) ordered logistic regression, and of supply variation on improving staffing grades in 1,042 hospitals using GEE logistic regression. Results: An increase of one newly licensed nurse per 100 beds in general units had significantly lower odds of improving staffing grades (grades 6~0 vs. 7) (odds ratio=0.95, p=.005). The supply of newly licensed nurses increased by 32% from 2009 to 2014, and proportion of hospitals whose staffing grade had improved, not changed, and worsened was 19.1%, 70.1%, and 10.8% respectively. Compared to 2009, the supply variation of newly licensed nurses in 2014 was not significantly related to the increased odds of improving staffing grades in the region (OR=1.02, p=.870). Conclusion: To achieve a balance in the regional supply and demand for hospital nurses, compliance with nurse staffing legislation and revisions in the nursing fee differentiation policy are needed. Rather than relying on increasing nurse supply, retention policies for new graduate nurses are required to build and sustain competent nurse workforce in the future.

show abstract

“…A systemic application of conceptual framework for QI not previously used in public health could help better understand and identify the factors that influence the adoption of QI initiatives by LHDs. Moreover, using a recent national survey LHDs in 2010, this study provided an update of QI at LHDs from previous studies 14,16,18 that used earlier data from the National Profile of Local Health Department Study (the Profile Study). 19 By applying a novel theoretical framework based on analysis of QI in medicine to public health, the study makes a new contribution to existing literature on the topic.…”

mentioning

confidence: 99%

Factors Driving the Adoption of Quality Improvement Initiatives in Local Health Departments

Luo

Sotnikov

McLees

et al. 2015

Journal of Public Health Management and Practice

View full text Add to dashboard Cite

Background Over the past decade, quality improvement (QI) has become a major focus in advancing the goal of improving performance of local health departments (LHDs). However, limited empirical data exists on the current implementation of QI initiatives in LHDs and factors associated with adoption of QI initiatives. Objectives (1) To examine the current implementation of QI implementation initiatives by LHDs and (2) to identify factors contributing to LHDs’ decision to implement QI initiatives. Methods In this study, a novel theoretical framework based on analysis of QI in medicine was applied to analyze QI by LHDs. LHDs’ QI adoption was assessed by the number of formal QI projects reported by LHDs that responded to module 1 of the 2010 National Profile of Local Health Department Study (Profile Study) conducted by the National Association of County & City Health Officials. The Profile Study data were merged with data from the Health Resources and Services Administration’s Area Resource Files and the Association of State and Territorial Health Officials’ 2010 Survey. Logistic regression analyses were conducted using Stata 11 SVY procedure to account for the complex sampling design. Results The Profile Study data indicated that about 73% of the LHDs reported implementing 1 or more QI projects. LHDs with large jurisdiction population (>50 000), higher per capita public health expenditure, a designated QI staff member, or prior participation in performance improvement programs were more likely to have undertaken QI initiatives. Conclusion According to the Profile Study, more than a quarter of LHDs surveyed did not report implementing any formal QI projects. Greater investments in QI programs and designation of QI staff can be effective strategies to promote QI adoption. The validity of the definition of a formal QI project needs to be established. More research to identify the barriers to successful QI implementation at LHDs is also needed.

show abstract

Using resource dependency theory to measure the environment in health care organizational studies

Cited by 54 publications

References 26 publications

The relationship between the external environment and physician e-mail communication

The relationship between the external environment and physician e-mail communication

Impact of Increased Supply of Newly Licensed Nurses on Hospital Nurse Staffing and Policy Implications

Factors Driving the Adoption of Quality Improvement Initiatives in Local Health Departments

Contact Info

Product

Resources

About