Hospital Restructuring:Does It Adversely Affect Care and Outcomes?

Linda H. Aiken, Sean Clarke, Douglas M. Sloane

Research output: Contribution to journalArticle

Abstract

The past decade has witnessed pronounced changes in the organization of United States hospitals, many the direct result of restructuring and re-engineering initiatives intended to decrease costs and increase productivity. Little is known about how these initiatives have affected clinical care and patient outcomes. Using data from a variety of sources, the authors describe initiatives that hospitals undertook during this period, discuss how nurse staffing changed relative to the case mix of patients receiving care, and examine changes in nursing practice environments from 1986 to 1998.

Original languageEnglish (US)
Pages (from-to)457-465
Number of pages9
JournalJournal of Nursing Administration
Volume30
Issue number10
DOIs
StatePublished - Jan 1 2000

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Hospital Restructuring
Patient Care
State Hospitals
Diagnosis-Related Groups
Nursing
Nurses
Organizations
Costs and Cost Analysis

ASJC Scopus subject areas

  • Leadership and Management

Cite this

Hospital Restructuring:Does It Adversely Affect Care and Outcomes? / Aiken, Linda H.; Clarke, Sean; Sloane, Douglas M.

In: Journal of Nursing Administration, Vol. 30, No. 10, 01.01.2000, p. 457-465.

Research output: Contribution to journalArticle

Aiken, Linda H. ; Clarke, Sean ; Sloane, Douglas M. / Hospital Restructuring:Does It Adversely Affect Care and Outcomes?. In: Journal of Nursing Administration. 2000 ; Vol. 30, No. 10. pp. 457-465.
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