Hospital Restructuring: Does It Adversely Affect Care and Outcomes?

TitleHospital Restructuring: Does It Adversely Affect Care and Outcomes?
Publication TypeJournal Article
Year of Publication2000
AuthorsAiken, Linda H., Sean P. Clarke, and Douglas M. Sloane
JournalJournal of Nursing Administration
ISBN Number0002-0443
Accession NumberPMID: 11045104
AbstractThe 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.
Reprint Edition (October)