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Organizational structure and the delivery of primary care to older Americans
Health Services Research
|June 10, 1998
Abstract
Objective:
To explore how internal factors, such as organizational size, mission, ownership, and managerial communication and control structures, affect the delivery of primary care to older Americans across a wide variety of practice settings: ambulatory practices, hospitals, nursing homes, and home healthcare agencies.
Design:
Use of the structure/process/outcome paradigm and contingency theory to examine the empirical research linking structural factors to outcomes.
Conclusion:
Using these studies as a background, we consider the implications for the provision of primary care to older Americans including the impact of evolving intraorganizational structure in healthcare organization.