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1、OrganizationalDeterminantsofServices,QualityandCostofCareinHospitalsAuthor(s):W.RichardScott,AnnBarryFloodandWayneEwySource:TheMilbankMemorialFundQuarterly.HealthandSociety,Vol.57,No.2(Spring,1979),pp.234-264Publishedby:WileyonbehalfofMilbankMemorialFundStableURL:http://www.j
2、stor.org/stable/3349764.Accessed:12/12/201323:35YouruseoftheJSTORarchiveindicatesyouracceptanceoftheTerms&ConditionsofUse,availableat.http://www.jstor.org/page/info/about/policies/terms.jsp.JSTORisanot-for-profitservicethathelpsscholars,researchers,andstudentsdiscover,use,and
3、builduponawiderangeofcontentinatrusteddigitalarchive.Weuseinformationtechnologyandtoolstoincreaseproductivityandfacilitatenewformsofscholarship.FormoreinformationaboutJSTOR,pleasecontactsupport@jstor.org..MilbankMemorialFundandWileyarecollaboratingwithJSTORtodigitize,preserve
4、andextendaccesstoTheMilbankMemorialFundQuarterly.HealthandSociety.http://www.jstor.orgThiscontentdownloadedfrom113.108.133.58onThu,12Dec201323:35:17PMAllusesubjecttoJSTORTermsandConditionsMilbankMemorialFundQuarterly/HealthandSociety,Vol.57,No.2,1979OrganizationalDeterminants
5、ofServices,QualityandCostofCareinHospitalsW.RICHARDSCOTT,ANNBARRYFLOOD,ANDWAYNEEwYDepartmentofSociology,StanfordUniversity;OrganizationsandMentalHealthTrainingProgram,StanfordUniversity;andWarner-Lambert/Parke-DavisPharmaceuticalDivisionAFTERMORETHANADECADEofresearchonthestru
6、cturalfeaturesoforganizations(BlauandSchoenherr,1971;Pugh,Hickson,Hiningsetal.,1968and1969),researchersareturningtheirattentionfromthedeterminantstotheconse-quencesoforganizationalstructure.Inparticular,attentionhasrecentlybeenfocusedontheeffectsofstructureonorganizationaleff
7、ectivenessandefficiency(Child,1974and1975;GoodmanandPennings,1977;Price,1972;Steers,1977).Goodexamplesofthelattervariablesareprovidedbyquality(effectiveness)andcost(ef-ficiency)ofhealthcareinhospitals.Thesevariablesarealsoofgreatinteresttopolicymakersbecauseoftherecentrapidin
8、creasesinhospitalcostsandunevenqualityofhospitalcareinthiscountry.Al
