Strategic Fit in Healthcare Integrated Delivery Systems: An Empirical Investigation

摘要

Using the healthcare integrated delivery system (IDS) as a distinct and useful example of an interorganizational network, the current study empirically tests a model of strategic fit for this level of analysis. In particular, this study examines the strategic fit between IT integration and sophistication and organizational maturity within the healthcare IDS. Secondary data obtained from HIMSS Analytics and the American Hospital Directory for 130 healthcare IDSs currently active in the United States is used to test the relationship between strategic fit and both average length of hospital stay and operational cost. In addition, statistical comparisons are made across two levels of IDS development. The results indicate a shortened length of hospital stay and reduced operational costs when strategic fit is achieved. Further, among those IDSs who have achieved strategic fit, high integration aligned IDSs seem to demonstrate significantly greater performance improvements than low integration aligned IDSs.