We focus on a number of topic areas identified by state health policy leaders as important to population health.
Keep up with news and updates from the Milbank Memorial Fund. Get the latest from thought leaders, including Christopher F. Koller, president of the Fund.
We publish The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to population health.
The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
December 2003 (Volume 81)
December 2003 | Deborah Gurewich, Jeffrey Prottas, Walter Leutz
Using interorganizational theory and qualitatively exploring five specific hospital conversions, this article examines how a change in ownership status affects a hospital’s competitive and collaborative behavior toward nonacute care providers serving vulnerable populations. Community benefits were found to be a sound foundation for analyzing the impact of hospital conversions on local communities, but the concept needs to be expanded to take into account not only the scope and intensity of hospital services provided but also the impact on community-based providers. In this framework, conversions were found to affect communities differently and produce varied effects for the stakeholders. Communities also were found to be active participants in determining how conversions would affect them and the local delivery system in which they would operate.
Author(s): Deborah Gurewich; Jeffrey Prottas; Walter Leutz
Read on Wiley Online Library
Read on JSTOR
Volume 81, Issue 4 (pages 543–565)
Published in 2003
The Rise and Fall of a Kaiser Permanente Expansion Region
The Impact of Blue Cross Conversions on Accessibility, Affordability, and the Public Interest