Organizational structure and the delivery of primary care to older Americans.
Zinn, J S
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.
ACESSO AO ARTIGOhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1070356
- Interorganizational factors affecting the delivery of primary care to older Americans.
- Aging and primary care: an overview of organizational and behavioral issues in the delivery of healthcare services to older Americans.
- The emerging role of the client in the delivery of primary care to older Americans.
- Key challenges in studying organizational issues in the delivery of healthcare to older Americans.
- Toward the Development of a Research Agenda on Organizational Issues in the Delivery of Healthcare to Older Americans