Seminar Series

1999 - 2000

The Health Services Research Seminars feature nationally and internationally known leaders in health services research speak on current topics. These seminars are free and open to the public.

1999-2000 Schedule

Archives

2005-2006 | 2004-2005 | 2003-2004 | 2002-2003 | 2001-2002 | 2000-2001 | 1999-2000 | 1998-1999

Abstracts for HSR Series

Roice D. Luke
Professor, Department of Health Administration, Virginia Commonwealth University

“Urban Legends in Healthcare: Lessons to be Learned from the "Revolution" of the 1990s”

Abstract

In the 1990s healthcare emerged as a major political issue at both state and national levels making the stage ripe for the implementation of the managed competition model and the inevitable restructuring that followed. Hospitals responded by forming community-wide, integrated delivery systems in order to capture the capitated contracts from managed care companies and governmental agencies. And, physicians joined with rapidly expanding practice management companies, large group practices and hospital-sponsored alliances. What was the result? What lessons can we learn from the many apparent strategic missteps of the 1990s?

Dr. Luke is a specialist in strategic management and health care policy, and an investigator of local health care systems, networks and markets. He is widely published and is an active speaker on strategic management in the health care industry. He recently completed a federally funded study of the performance of strategic hospital alliances. He is in his sixth year as director of a study of local markets and systems, funded by four major supply and distribution companies. And, he is the principal developer of three unique national databases focusing on strategic hospital alliances (SHAs), market structural indicators, and strategic physician organizations (SPOs).

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Martin Gaynor
E. J. Barone Chair in Health Systems Management & Professor of Economics and Public Policy, Carnegie Mellon University

“Estimating Hospital Competition: A New Approach”

Abstract

The nature of hospital competition has been a critical question for health economics and health policy since the 1980s, reinforced by massive consolidations in recent years.  This research addresses the nature of competitive conduct by not-for-profit hospitals and, specifically, whether not-for-profit hospitals exercise market power. Dr. Gaynor received the 1996 Kenneth J. Arrow Award for best published article worldwide in health economics, and the Robert Wood Johnson Foundation Investigator Award in Health Policy Research. His professional activities include membership on editorial boards of the American Economic Review, Health Services Research, and the International Journal of Health Care Finance and Economics.

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W. Richard (Dick) Scott
Professor Emeritus of Sociology, Stanford University

“Institutional Change and Healthcare Organizations”

Abstract

The area of healthcare services has undergone profound change during the past half century in the US Dr. Scott examined this change using his research on the study of health care change in San Francisco Bay Area. Changes in Bay Area health care organization, and the organizational responses to external forces are described, with attention given to new organizational forms. Dr. Scott showed how these changes were related to three institutional eras: professional dominance (before 1965), federal involvement (1966 to 1982), and market forces (1983 to present). W. Richard (Dick) Scott is Professor Emeritus of Sociology at Stanford University. During his tenure with Stanford, he has had courtesy appointments in the Department of Health Research and Policy, School of Medicine, in the Graduate School of Business and the School of Education. He served as founding Director of the Stanford Center for Organizations Research (1988-96). Dr. Scott received his Ph.D. in sociology at the University of Chicago and has spent his entire professional career at Stanford. His major research interests include the study of professional organizations, including social welfare, educational and medical organizations, and the effects of broader institutional frameworks on the structure and performance of organizations. The research that Dr. Scott reported was supported by a Robert Wood Johnson Investigator Awards in Health Policy Research.

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