Temporal specificity and task alignment: Evidence from patient care

Guy David, Evan Rawley, Daniel Polsky

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

We show how integration solves temporal specificity problems that arise from the misalignment of tasks between organizations, and test the predictions of the model using a large and rich patient-level dataset on hospital discharges to nursing homes and home health care. As predicted by the theory, we find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower cost delivery systems by discharging patients earlier and in poorer health, and leads to greater post-hospitalization service intensity, holding patient outcomes constant across the care continuum. The evidence suggests that by improving the alignment of tasks to assets, integration solves temporal specificity problems that arise in market exchange.

Original languageEnglish (US)
Title of host publicationAcademy of Management 2011 Annual Meeting - West Meets East
Subtitle of host publicationEnlightening. Balancing. Transcending, AOM 2011
PublisherAcademy of Management
DOIs
StatePublished - Jan 1 2011
Event71st Annual Meeting of the Academy of Management - West Meets East: Enlightening, Balancing, Transcending, AOM 2011 - San Antonio, TX, United States
Duration: Aug 12 2011Aug 16 2011

Other

Other71st Annual Meeting of the Academy of Management - West Meets East: Enlightening, Balancing, Transcending, AOM 2011
CountryUnited States
CitySan Antonio, TX
Period8/12/118/16/11

Keywords

  • Tasks
  • Temporal specificity
  • Vertical integration

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