Strategic Groups and Performance Differences Among Academical Medical Centers

Health Care Management Review, Vol. 33, No. 3, pp. 225-233, 2008

Posted: 27 Mar 2010 Last revised: 8 Jul 2010

See all articles by Jonas Schreyoegg

Jonas Schreyoegg

University of Hamburg - Faculty of Economics and Business Administration

Constantin von Reitzenstein

affiliation not provided to SSRN

Date Written: Jul-Sept 2008

Abstract

BACKGROUND: The performance of academic medical centers (AMCs) differs from that of other hospitals because AMCs must combine the delivery of patient care with teaching and research.

PURPOSE:: This study investigates the effects of strategic group membership as opposed to other structural determinants on the performance of AMCs.

METHODOLOGY: We used data from 24 German AMCs and applied data envelopment analysis with superefficiency to measure the performance of AMCs by considering AMC-specific inputs and outputs for patient care, teaching, and research. We used cluster analysis to identify strategic groups and applied regression analysis to explore their impact on performance.

RESULTS: Our results reveal two strategic groups based on a specialization either in teaching or in research. The strategic group that specialized in research showed significantly better performance; structural variables did not play a major role.

PRACTICE IMPLICATIONS: The results provide an important justification for managers to develop suitable strategic concepts for AMCs. If low organizational efficiency is detected, managers need to consider analyzing whether their AMC belongs to an appropriate strategic group. An emphasis on research may increase overall efficiency.

Suggested Citation

Schreyoegg, Jonas and von Reitzenstein, Constantin, Strategic Groups and Performance Differences Among Academical Medical Centers (Jul-Sept 2008). Health Care Management Review, Vol. 33, No. 3, pp. 225-233, 2008. Available at SSRN: https://ssrn.com/abstract=1574128

Jonas Schreyoegg (Contact Author)

University of Hamburg - Faculty of Economics and Business Administration ( email )

Von-Melle-Park 5
Hamburg, 20146
Germany

Constantin Von Reitzenstein

affiliation not provided to SSRN ( email )

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