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The Merger of Rural Primary Care and Home Health Services *

dc.contributor.authorZuckerman, Howard S.en_US
dc.contributor.authorSmith, Dean G.en_US
dc.date.accessioned2010-06-01T20:00:27Z
dc.date.available2010-06-01T20:00:27Z
dc.date.issued1991-01en_US
dc.identifier.citationZuckerman, Howard S.; Smith, Dean G. (1991). "The Merger of Rural Primary Care and Home Health Services * ." The Journal of Rural Health 7(1): 39-50. <http://hdl.handle.net/2027.42/73135>en_US
dc.identifier.issn0890-765Xen_US
dc.identifier.issn1748-0361en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/73135
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=10109837&dopt=citationen_US
dc.description.abstractThe merger of rural primary care and home health services offers the potential for increasing the administrative efficiency of health care, and thereby enhancing the quality of care and increasing access to services, particularly health promotion. However, the proposed benefits of any merger can only be realized if the merger process is successfully completed. An analysis of the factors that were important in a case study of successful and unsuccessful mergers of rural health centers and home health care agencies in northeastern Vermont is presented. Three components were found to be necessary to start the merger process: complementary needs, opportunity, and common philosophy. The involvement and support of key individuals was crucial to sustaining merger interest. Good communication throughout the process contributed substantially to the maintenance of both community and staff support. Others considering similar mergers should recognize that the process of consolidating organizations and satisfying regulations takes some time to complete.en_US
dc.format.extent808057 bytes
dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Publishing Ltden_US
dc.rights1991 The National Rural Health Associationen_US
dc.titleThe Merger of Rural Primary Care and Home Health Services *en_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumRequests for further information should be sent to: Dean Smith, PhD, Department of Health Services Management and Policy, The University of Michigan, 1420 Washington Heights, Ann Arbor, MI 48109-2029.en_US
dc.identifier.pmid10109837en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/73135/1/j.1748-0361.1991.tb00702.x.pdf
dc.identifier.doi10.1111/j.1748-0361.1991.tb00702.xen_US
dc.identifier.sourceThe Journal of Rural Healthen_US
dc.identifier.citedreferenceAshby, J. ( 1981 ). Management and community factors affecting the financial viability of rural health initiative sites. Journal of Ambulatory Care Management, 4, 1 – 13.en_US
dc.identifier.citedreferenceBanahan, B., & Sharpe, T. ( 1982 ). Evaluations of the use of rural health clinics: Knowledge, attitudes and behaviors of consumers. Public Health Reports, 97, 261 – 268.en_US
dc.identifier.citedreferenceBiggs, E.L. ( 1977 ). Accountability in corporation managed and traditionally managed nonprofit hospitals. Unpublished doctoral dissertation, Pennsylvania State University.en_US
dc.identifier.citedreferenceCameron, K.S. ( 1980 ). Critical questions: Assessing organizational effectiveness. Organizational Dynamics, 9, 66 – 80.en_US
dc.identifier.citedreferenceConnolly, T., Conlon, E.J., & Deutsch, S.J. ( 1980 ). Organizational effectiveness: A multiple constituency approach. Academy of Management Review, 5, 211 – 218.en_US
dc.identifier.citedreferenceDeprez, R.D., Pennell, B.E., & Libby, MA. ( 1987 ). The substatutability of outpatient primary care in rural community health centers for inpatient hospital care. Health Services Research, 2, 207 – 33.en_US
dc.identifier.citedreferenceJoint Rural Task Force of the National Association of Community Health Centers and the National Rural Health Association. ( 1989 ). Community health centers and the rural economy: The struggle for survival. Kansas City, MO: National Rural Health Association.en_US
dc.identifier.citedreferenceKeeley, M. ( 1978 ). A social justice approach to organizational evaluation. Administrative Science Quarterly, 23, 272 – 292.en_US
dc.identifier.citedreferenceKirby, W., Latta, V., & Helbing, C. ( 1986 ). Medicare use and cost of home health agency services, 1983–84. Health Care Financing Review, 7, 93 – 100.en_US
dc.identifier.citedreferenceMoscovice, I. ( 1989 ). Strategies for promoting a viable rural health care system. The Journal of Rural Health, 5, 216 – 230.en_US
dc.identifier.citedreferenceMovassaghi, H., & Kindig, D. ( 1989 ). Medical practice and satisfaction of physicians in sparsely populated rural counties of the United States: Results of a 1988 survey, The Journal of Rural Health, 5, 125 – 136.en_US
dc.identifier.citedreferenceOffice of Economic Opportunity. ( 1987 ). Profile of Vermont poverty. Washington, DC: Author.en_US
dc.identifier.citedreferencePrindaville, C.M., Sidwell, L.H., & Milner, D.E. ( 1983 ). Integrating primary health care and mental health services—A successful rural linkage. Public Health Reports, 98, 67 – 72.en_US
dc.identifier.citedreferenceReid, R.A., Bartlett, E.E., & Kozoll, R. ( 1981 ). Implementation of the health center concept in a rural community: A case study, Journal of Community Health, 7, 57 – 66.en_US
dc.identifier.citedreferenceReid, R.A., & Smith, H.L. ( 1984 ). Integrating rural health care systems: Managerial implications for design and implementation. Journal of Ambulatory Care Management, 7, 13 – 28.en_US
dc.identifier.citedreferenceRicketts, T.C., Konrad, T.R., Stein, J.S., & DeFriese, G.H. ( 1987 ). Population ecology and health policy analysis: The case of rural primary care centers. Medical Care Review, 44, 345 – 374.en_US
dc.identifier.citedreferenceRicketts, T.C., Wagner, E.H., & Konrad, T.R. ( 1983 ). An evaluation of subsidized rural primary ca re programs II: The environmental contexts. American Journal of Public Health, 73, 406 – 413.en_US
dc.identifier.citedreferenceSardell, A. ( 1988 ). The U.S. experiment in social medicine: The community health center program, 1965–1986, Pittsburgh. PA: University of Pittsburgh Press.en_US
dc.identifier.citedreferenceSheps, C.G., Wagner, E.H., Schonfeld, W.H., DeFriese, G.H., Bachar, M., Brooks, E.F., Callings, D.B., Guild, P.A., Konrad, R., McLaughlin, C.P., Ricketts, T.C., Seipp, C., & Stein, J.S. ( 1983 ). An evaluation of subsidized rural primary care programs I: A typology of practice organizations. American Journal of Public Health, 73, 38 – 49.en_US
dc.identifier.citedreferenceSmith, D.G., & Zuckerman, H.S. ( In press ). Perceptions of community leaders and the merger of rural health services, Journal of Community Health..en_US
dc.identifier.citedreferenceSmith, H.L., & Reid, R.A. ( 1987 ). Integrating hospice and home health services: Analysis of strategic factors. Home Health Care Services Quarterly, 8, 87 – 102.en_US
dc.identifier.citedreferenceStarkweather, D.B. ( 1981 ). Mergers in the Making. Ann Arbor, MI: Health Administration Press.en_US
dc.identifier.citedreferenceVermont Department of Public Health. ( 1989 ). Report of vital statistics in Vermont. Burlington, VT: Author.en_US
dc.identifier.citedreferenceVermont Department of Public Health. ( 1988 ). Population and housing estimates, 1987. Burlington, VT: Author.en_US
dc.identifier.citedreferenceWheeler, J.R.C., & Zuckerman, H.S. ( 1984 ). Hospital management contracts: Institutional and community perspectives. Health Services Research, 19, 499 – 518.en_US
dc.identifier.citedreferenceWhitehead, C.J., Blair, J.D., Smith, R.R., Nix, T.W., & Savage, G.T. ( 1989 ). Stakeholder supportiveness and strategic vulnerability: Implications for competitive strategy in the HMO industry. Health Care Management Review, 14, 65 – 76.en_US
dc.identifier.citedreferenceWood, J.B., Hughes, R.G., & Estes, C.L. ( 1986 ). Community health centers and the elderly: A potential new alliance. Journal of Community Health, 11, 137 – 46.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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