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Internal Structures of the Health Maintenance Organization and the Quality of Care

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Authors
Kim, Joung Hwa
Issue Date
1993-12
Publisher
Population and Development Studies Center, Seoul National University
Citation
Korea Journal of Population and Development, Vol.22 No.2, pp. 239-256
Abstract
This study investigates effects of HMO structural arrangements on performance, especially quality of care. The commonly used HMO types is assumed not effective in explaining performance differences. For the empirical test, I use bootstrap regression analyses with 36 HMOs. The results of the analyse show that decision-making participation and differentiation accompanied by coordination improve quality of care while formalization has a nonessential effect on quality of care. However, formalization and decision-making participation positively contribute to achieving coordination. The theoretical framework derived from the rational-contingency model of the formal organization better explains performance difference of HMOs than HMO types
Language
English
URI
http://hdl.handle.net/10371/85231
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College of Social Sciences (사회과학대학)Institute for Social Development and Policy Research (사회발전연구소)Development and SocietyKorea Journal of Population and Development Vol.22 No.1/2 (1993)
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