Conclusions: The global diffusion of casemix

doi:10.1017/CBO9780511620003.017

16 - Conclusions: The global diffusion of casemix

Published online by Cambridge University Press: 24 February 2010

Thomas D'Aunno ,

John R. Kimberly and

Gérard de Pouvourville

Edited by

John Kimberly ,

Gerard de Pouvourville and

Thomas d'Aunno

Show author details

John Kimberly: Affiliation:
University of Pennsylvania
Gerard de Pouvourville: Affiliation:
Centre National de la Recherche Scientifique (CNRS), Paris
Thomas d'Aunno: Affiliation:
INSEAD, Fontainebleau, France

Book contents

Get access

Summary

Introduction

The previous chapters have presented summaries of the adoption of patient classification systems (PCS) in fifteen countries around the globe, starting with the US in 1983 and continuing through to Germany in 2005. The purpose of this final chapter is to stand back from the details of each country's experience with patient classification systems and analyze patterns of convergence and divergence in these experiences. The chapters describe some similarities, but also a great deal of variation in the definition, goals, and purposes of PCS from one country to the next as well as in the processes by which these systems were adopted. These differences lead us to ask the following questions:

Why do some nations use PCS extensively, including, for example, as a payment method for health care providers, while others rely relatively little on these systems?
What accounts for variation in the difficulty and duration of adoption and implementation of PCS across nations?
What accounts for variation in the timing of adoption? Why have some nations just begun to use PCS, while others have used them for more than twenty years?

Addressing these and related questions is important because the adoption and implementation of these systems remains incomplete both within and across nations. There may well be key lessons to be learned from examining adoption patterns, and these lessons can inform decision makers who are both current and potential users of this technology.

Type: Chapter
Information: The Globalization of Managerial Innovation in Health Care , pp. 346 - 372

DOI: https://doi.org/10.1017/CBO9780511620003.017 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Abrahamson, E. (1991). Managerial Fad and Fashions: The Diffusion and Rejection of Innovations. Academy of Management Review, 16(3), 586–612.CrossRef Google Scholar

Barley, S. R. (1986). Technology as an Occasion for Structuring: Evidence from Observations of CT Scanners and the Social Order of Radiology Departments. Administration Science Quarterly, 31, 78–108.CrossRef

Battilana, J. (2006). Initiating Divergent Organizational Change: The Enabling Role of Actors' Social Position. Cambridge, MA: Harvard Business School Working Paper.Google Scholar

Callon, M. (1987). Society in the Making: The Study of Technology as a Tool for Sociological Analysis. In Bijker, W. E., Hughes, T. P. and Pinch, T. J. (eds.) The Social Construction of Technological Systems, 83–103. Cambridge, MA: MIT Press.Google Scholar

Fetter, R. B. (ed.) (1991). DRGS: Their Design and Development. Ann Arbor, MI: Health Administration Press.

Fetter, R. B., et al. (1980). Case Mix Definition by Diagnostic Related Groups. Medical Care, 18(2), 1–53.Google Scholar

Fligstein, N. (1991). The Transformation of Corporate Control. Cambridge, MA: Harvard University Press.Google Scholar

Fligstein, N. (1997). Social Skill and Institutional Theory. American Behavioral Scientist, 40, 397–405.CrossRef Google Scholar

Gapenski, L. C. (1999). Healthcare Finance: An Introduction to Accounting and Financial Management. Chicago, IL: Health Administration Press.Google Scholar

Greve, H. R. (2003). Organizational Learning from Performance Feedback. Cambridge: Cambridge University Press.CrossRef Google Scholar

Guler, I., Guillen, M. F. and MacPherson, J. M. (2002). Global Competition, Institutions and the Diffusion of Organizational Practices: The International Spread of ISO 9000 Quality Certificates. Administrative Science Quarterly, 47, 207–33.CrossRef Google Scholar

Henisz, W. J., Zelner, B. A. and Guillen, M. F. (2005). The Worldwide Diffusion of Market-oriented Infrastructure Reform, 1977–1999. American Sociological Review, 70, 871–97.CrossRef Google Scholar

Kimberly, J. R. (1981). Managerial Innovation. In Nystrom, P. C. and Starbuck, W. H. (eds.) Handbook of Organizational Design. New York: Oxford University Press.Google Scholar

Kimberly, J.R. (1993). DRGs in Western Europe: Lessons and Comparisons in Managerial Innovation. In Kimberly, J. R., Pouvourville, G. and Associates. The Migration of Managerial Innovation. San Francisco: Jossey-Bass.Google Scholar

Kimberly, J. R. and Pouvourville, G. (1993). Managerial Innovation, Migration, and DRGs. In Kimberly, J. R., Pouvourville, G. and Associates. The Migration of Managerial Innovation. San Francisco: Jossey-Bass.Google Scholar

Kingdon, J. W. (1984). Agendas, Alternatives, and Public Policies. Boston, MA: Little Brown.Google Scholar

Latour, B. (1987). Science in Action: How to Follow Scientists and Engineers through Society. Cambridge, MA: Harvard University Press.Google Scholar

Leblebici, H., Salancik, G. R., Copay, A. and King, T. (1991). Institutional Change and the Transformation of Interorganizational Fields: An Organizational History of the U.S. Radio Broadcasting Industry. Administrative Science Quarterly, 36, 333–63.CrossRef

Meyer, J. W., Scott, W. R. and Strang, D. (1987). Centralization, Fragmentation and School District Complexity. Administrative Science Quarterly, 32, 186–201.CrossRef Google Scholar

Ring, P. S., Bigley, G., D'Aunno, T. and Khanna, T. (2005). Perspectives on How Governments Matter. Academy of Management Review, 30(2), 308–21.CrossRef Google Scholar

Rogers, E. M. (2003). Diffusion of Innovations, 5th edn. New York: Free Press.Google Scholar

Schofer, E. and Meyer, J. W. (2005). The Worldwide Expansion of Higher Education in the Twentieth Century. American Sociological Review, 70, 898–920.CrossRef Google Scholar

Scott, W. R. (2001). Institutions and Organizations, 2nd edn. Thousand Oaks, CA: Sage.Google Scholar

Scott, W. R., Ruef, M., Mendel, P. and Caronna, C. (2000). Institutional Change and Healthcare Organizations. Chicago, IL: University of Chicago Press.Google Scholar

Tellis, G. J. and Stremersch, S. (2003). The International Takeoff of New Products: The Role of Economics, Culture and Country Innovativeness. Marketing Science, 22(2), 188–208.CrossRef Google Scholar