Health Services Research, June 1st, 1998
Objective. To explore how internal factors, such as organizational size, mission, ownership, and managerial communication and control structures, affect the delivery of primary care to older Americans across a wide variety of practice settings: ambulatory practices, hospitals, nursing homes, and home healthcare agencies. Design. Use of the structure/process/outcome paradigm and contingency theory to examine the empirical research linking structural factors to outcomes. Conclusion. Using these studies as a background, we consider the implications for the provision of primary care to older Ameri...
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