During the past quarter century, efforts have been made to control rising hospital costs, which are the largest component of U.S. health care expenditures. The purpose of this research is to examine the relationship among five community characteristics and hospital ownership types; determine whether there are differences in operational performance (cost and efficiency) between private nonprofit and private for-profit hospitals; and propose an answer to the question - Why do local governments contract-manage their hospital operation? Using a mixed-method research design, the findings are: (1) there are mixed results in the relationship between community characteristics and hospital ownership types; (2) there are no significant differences in operational performance of private nonprofit and private for-profit hospitals; and (3) hospitals pursue contract management services to gain hospital management expertise, financial management, medical and information technology, and human resource management and recruitment. The implications of this study calls for a broader examination of operational performance among hospital ownership types and policy direction on the goals and mission of a public private venture such as contract management. / A Dissertation submitted to the Askew School of Public Administration & Policy in partial fulfillment of the requirements for the degree of Doctor of
Philosophy. / Summer Semester, 2008. / June 23, 2008. / Institutional Theory, Transaction Cost / Includes bibliographical references. / Mary E. Guy, Professor Directing Dissertation; Marie Cowart, Outside Committee Member; Robert Bradley, Committee Member; Lance deHaven-Smith, Committee Member.
| Identifer | oai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_181194 |
| Contributors | Crowell, Elsie Bradwell (authoraut), Guy, Mary E. (professor directing dissertation), Cowart, Marie (outside committee member), Bradley, Robert (committee member), deHaven-Smith, Lance (committee member), School of Public Administration and Policy (degree granting department), Florida State University (degree granting institution) |
| Publisher | Florida State University, Florida State University |
| Source Sets | Florida State University |
| Language | English, English |
| Detected Language | English |
| Type | Text, text |
| Format | 1 online resource, computer, application/pdf |
| Rights | This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). The copyright in theses and dissertations completed at Florida State University is held by the students who author them. |
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