Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry

@article{Clark2012BroadeningFS,
  title={Broadening Focus: Spillovers, Complementarities and Specialization in the Hospital Industry},
  author={Jonathan R. Clark and Robert S. Huckman},
  journal={Demand \& Supply in Health Economics eJournal},
  year={2012}
}
The long-standing argument that focused operations outperform others stands in contrast to claims about the benefits of broader operational scope. The performance benefits of focus are typically attributed to reduced complexity, lower uncertainty, and the development of specialized expertise; the benefits of greater breadth are linked to the economies of scope achieved by sharing common resources, such as advertising or production capacity, across activities. Within the literature on corporate… Expand
Focus, Uncertain Needs, and Consumer Choice in the Hospital Industry
  • A. Sfekas
  • Computer Science, Business
  • Manuf. Serv. Oper. Manag.
  • 2020
TLDR
Patients are more likely to choose hospitals that specialize in obstetrics services and show preferences for diversification across hospital units but not diversification within the focal unit, and potential implications for hospital performance are discussed. Expand
On the relations between focus, experience, and hospital performance
TLDR
This study finds that hospitals exhibit distinct and stable patterns regarding their positioning on focus and experience and that these patterns have important implications for hospitals' performance in terms of quality and efficiency. Expand
Hospital Specialization: Benefits-Focused Product Line Planning
Trends in hospital specialization are studied using multiple regression analysis for the period 2005-2014. The observed 34.1 percent rise in specialization was associated with a 10.1 percent declineExpand
Learning from Customers: Individual and Organizational Effects in Outsourced Radiological Services
TLDR
It is found that variety in an individual’s customer experience may increase the rate of individual learning from customer-specific experience for a focal task and that the degree of customer depth moderates the impact of customer- specific experience at the individual level. Expand
Service Mix, Market Competition, and Cost Efficiency: A Longitudinal Study of U.S. Hospitals
We examine the longitudinal impact of service mix on cost efficiency in U.S. acute care general hospitals. We propose two different dimensions of service mix, with the first dimension capturingExpand
Managing Quality in a Heterogeneous Contract Manufacturing Environment
TLDR
A negative association between heterogeneity at CM facilities and their conformance quality performance is revealed and cooperative relationships, contractual coordination provisions, and formal performance assessment programs are identified as practices that brand-owning firms can employ to largely eliminate the negative impact of heterogeneity on CMs’ conformation quality performance. Expand
The relationship between hospital specialization and hospital efficiency: do different measures of specialization lead to different results?
TLDR
The results show that specialization as quantified by the authors' novel measures has effects on efficiency that are the opposite of those obtained using earlier measures of specialization, underscoring the importance of always providing an exact definition of specialization when studying its effects. Expand
Benefits and implications of competing on process excellence: Evidence from California hospitals
Abstract As the healthcare industry is in the midst of a shift to value-based payment models, hospitals face increasing pressure to balance strategic priorities and to improve both the effectivenessExpand
The impact of diversification on task performance: Evidence from kidney transplant centers
TLDR
It is found that diversification into liver transplants resulted in worsened quality performance in kidney transplants for younger patients, whose cases were less likely to be unexpectedly complex, while for older patients, who were more likely to have complications, the negative effect of diversification was offset. Expand
Transplant Centers as Focused Factories
Many advocates for health care reform have suggested applying the "focused factory" concept from strategic operations to improve the operation of hospitals. The benefits of focused operations haveExpand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 91 REFERENCES
Related diversification, core competences and corporate performance
Despite nearly 30 years of academic research on the benefits of related diversification, there is still considerable disagreement about precisely how and when diversification can be used to buildExpand
Why Focus? A Study of Intra-Industry Focus Effects
In an intra-industry setting, firm-focus is found to be positively correlated with the ability of firms to produce high-value products, while the overall effect of focus on firm performance isExpand
Scale, scope, and spillovers: the determinants of research productivity in drug discovery.
TLDR
It is found that larger research efforts are more productive, not only because they enjoy economies of scale, but also because they realize economies of scope by sustaining diverse portfolios of research projects that capture internal and external knowledge spillovers. Expand
ECONOMIES OF SCOPE AND THE SCOPE OF THE ENTERPRISE
Abstract This paper examines elements of an efficiency-based theory of the multiproduct firm. The theoretical framework developed by Williamson to explain vertical integration is extended to explainExpand
ABSORPTIVE CAPACITY: A NEW PERSPECTIVE ON LEARNING AND INNOVATION
Discusses the notion that the ability to exploit external knowledge is crucial to a firm's innovative capabilities. In addition, it is argued that the ability to evaluate and use outside knowledge isExpand
The Effects of Focus on Performance: Evidence from California Hospitals
TLDR
This work uses hospital-level discharge data from cardiac patients in California to estimate the effects of focus on operational performance and uses an instrumental variables estimation strategy that effectively randomizes the assignment of patients to hospitals to examine focus at three distinct levels of the organization. Expand
The Economics of Specialty Hospitals
TLDR
A review of existing literature, reports, and findings from site visits to explore the economic rationale for specialty hospitals focuses on six factors associated with specialization: consumer demand, procedural operating margins, clinical efficiencies, procedural economies of scale, economies of scope, and competencies and learning. Expand
Broader product line: a necessity to achieve success?
Strategic product line breadth decisions evoke differential responses from the manufacturing and the marketing areas: manufacturing prefers keeping process disruptions to a minimum and, as a result,Expand
Impact of Plant Size and Focus on Productivity: An Empirical Study
Recent popular business literature has suggested that there is a significant trend in the United States for firms to decrease the size and increase the focus of manufacturing plants they operate, andExpand
Does Focus Improve Operational Performance? Lessons from the Management of Clinical Trials
TLDR
This work explores the effect of operational focus by studying the investigative sites in biopharmaceutical clinical trials, and finds that sites that focus on performing clinical trials significantly outperform those that mix trial activity with the provision of traditional patient care. Expand
...
1
2
3
4
5
...