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Is hospital case management a rationalized myth?

S D Roggenkamp1, K R White

  • 1Department of Management, John A. Walker College of Business, Appalachian State University, Boone, NC 28608, USA. roggenkampsd@appstate.edu

Social Science & Medicine (1982)
|September 15, 2001
PubMed
Summary

Hospital case management adoption is widespread, but evidence of its effectiveness is limited. This study explores alternative motivations for hospitals implementing these processes beyond efficiency gains.

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Area of Science:

  • Healthcare Management
  • Hospital Administration
  • Process Improvement

Background:

  • Hospital case management processes are increasingly adopted in US healthcare settings.
  • There is a lack of robust empirical evidence demonstrating improved efficiency or effectiveness from these adoptions.
  • Understanding the drivers behind this trend is crucial for healthcare policy and practice.

Purpose of the Study:

  • To investigate the motivations behind the adoption of case management processes in US hospitals.
  • To propose alternative drivers for adoption, utilizing an institutional theoretical framework.
  • To highlight the need for further research validating the rationale for widespread implementation.

Main Methods:

  • The study employs an institutional theoretical framework.

Related Experiment Videos

  • It analyzes potential motivations for adopting hospital case management processes.
  • The research focuses on understanding drivers beyond direct efficiency and effectiveness improvements.

    • Main Results:

    • The adoption of hospital case management is prevalent despite limited empirical evidence of its benefits.
    • An institutional theoretical framework suggests motivations other than efficiency and effectiveness may drive adoption.
    • These motivations could relate to organizational legitimacy, isomorphism, or resource acquisition.

    Conclusions:

    • The widespread adoption of hospital case management may be driven by factors beyond demonstrable improvements in efficiency or effectiveness.
    • Further research, including cost-benefit analyses, is needed to validate the underlying rationale for these process changes.
    • Validating these propositions is essential for informed decision-making regarding hospital operational strategies.